河南省人民医院
纸质出版:2020
移动端阅览
[1]张娜,徐金义,王焕霞,孙汝平,秦巧云,陈琼,邱妍妍,赵桂华.新型冠状病毒感染者心电图分析[J].临床心电学杂志,2020,29(04):270-275.
Zhang na, Xu jinyi, Wang huanxia, et al. Electrocardiogram Analysis of patients infected with new coronavirus[J]. 2020, 29(4): 270-275.
目的总结分析新型冠状病毒肺炎患者的临床资料、心肌酶、心肌损伤生化标记物以及心电图的特点。方法选取2020年1月23日至3月18日河南省人民医院收治的新型冠状病毒肺炎患者42例
收集患者的一般资料、实验室检查、胸部CT、心电图及转归情况进行分析。结果本组患者心肌酶未见异常者33例(78.6%)
异常者9例(21.4%)。胸部CT累及单侧肺1例(2.4%)
双侧肺17例(40.5%)
未见明显异常24例(57.1%)。心电图未见异常24例(57.1%)
异常18例(42.9%)
其中ST-T异常6例(14.3%)
T波异常1例(2.4%)
房性早搏5例(11.9%)
QTc延长4例(9.5%)
肢体导联QRS低电压3例(7.1%)
窦性心动过速2例(4.8%)。结论新型冠状病毒肺炎人群普遍易感
通过对心肌酶、心电图及胸部CT的分析
对疾病并发症的预防和治疗有指导性意义。
Objective To summarize and analyze the clinical data
Biochemical markers of myocardial injury
myocardial enzymes and electrocardiogram(ECG) of 42 patients with COVID-19 pneumonia admitted to the infection isolation ward of Henan People’s Hospital. Methods From January 23
2020 to March 18
2020
total 42 patients with pneumonia in the isolation ward of the COVID-19 were selected
the general data
incidence
laboratory examination
chest CT
ECG and prognosis were analyzed. Results The myocardial enzyme was normal in 33 cases(78.6%) and abnormal in 9 cases(21.4%). CT imaging showed 1 patient of unilateral lung(2.4%)
17 cases of bilateral lung(40.5%)
24 cases of no obvious abnormality(57.1%). The ECG was normal in 24 cases(57.1%)
abnormal in 18 cases(42.9%)
including 6 cases(14.3%) with ST-T abnormality
1 case(2.4%) with T wave abnormality
5 cases(11.9%)with atrial premature beat
4 cases(9.5%) with QTC prolongation
3 cases(7.1%) with limb lead low voltage
2 cases(4.8%) with sinus tachycardia. Conclusions The myocardial enzymes
electrocardiogram and chest CT is helpful to the prevention and treatment of COVID-19 and its complications.
新型冠状病毒肺炎相关心肌损伤的临床管理专家建议(第一版) [J]. 郭颖,裴作为,朱火兰,张雁飞. 中国循环杂志 . 2020(04)
新型冠状病毒肺炎相关心脏损伤的研究进展 [J]. 李俊媛,易建华,彭程. 临床内科杂志 . 2020(03)
新型冠状病毒肺炎疫情防控期间心血管急危重症患者临床处理原则的专家共识 [J]. ChineseSocietyofCardiologyofChineseMedicalAssociation;EditorialBoardofChineseJournalofCardiovascularDisease. 中华心血管病杂志 . 2020(03)
新型冠状病毒肺炎诊疗方案(试行第六版) [J]. 中国感染控制杂志 . 2020(02)
2019新型冠状病毒肺炎29例临床特征分析 [J]. 陈蕾,刘辉国,刘威,刘静,刘馗,尚进,邓燕,魏双. 中华结核和呼吸杂志 . 2020(03)
新型冠状病毒(2019-nCoV)感染患者肺损伤相关的临床及生化指标研究 [J]. 刘映霞,杨扬,张聪,黄凤鸣,王福祥,袁静,王召钦,李金秀,李建明,冯程,张政,王力非,彭凌,陈莉,秦宇豪,赵丹丹,谭曙光,尹路,徐军,周丛照,蒋澄宇,刘磊. 中国科学:生命科学 . 2020(03)
Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China [J] . Dawei Wang,Bo Hu,Chang Hu,Fangfang Zhu,Xing Liu,Jing Zhang,Binbin Wang,Hui Xiang,Zhenshun Cheng,Yong Xiong,Yan Zhao,Yirong Li,Xinghuan Wang,Zhiyong Peng. JAMA . 2020 (11)
A pneumonia outbreak associated with a new coronavirus of probable bat origin. [J] . Zhou Peng,Yang Xing-Lou,Wang Xian-Guang,Hu Ben,Zhang Lei,Zhang Wei,Si Hao-Rui,Zhu Yan,Li Bei,Huang Chao-Lin,Chen Hui-Dong,Chen Jing,Luo Yun,Guo Hua,Jiang Ren-Di,Liu Mei-Qin,Chen Ying,Shen Xu-Rui,Wang Xi,Zheng Xiao-Shuang,Zhao Kai,Chen Quan-Jiao,Deng Fei,Liu Lin-Lin,Yan Bing,Zhan Fa-Xian,Wang Yan-Yi,Xiao Geng-Fu,Shi Zheng-Li. Nature . 2020 (7798)
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