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目的探讨诊断小儿病毒性心肌炎采用动态心电图的价值。方法对所选的120例患儿通过常规心电图、动态心电图的阳性检出率进行分析。结果常规心电图阳性检出率72.5%,动态心电图阳性检出率是93.3%,两者相比较差异有统计学意义(P<0.05)。结论动态心电图在病毒性心肌炎中的应用价值在于它能发现常规心电图不易发现的心律失常,对心电异常活动能全面显示,结合它的结果临床医师能够更全面的去判断、诊断此病,可以正确的指导治疗及预后。同时也可作为治疗的监测手段,通过对病情恢复情况的掌握,能够对治疗方案及时的进行调整,以达到对患儿临床彻底治愈的目的。
Objective To investigate the value of using dynamic electrocardiogram to diagnose pediatric viral myocarditis. Methods 120 cases of selected children by conventional electrocardiogram, Holter monitoring positive rate was analyzed. Results The positive rate of routine electrocardiogram was 72.5%, and the positive rate of ambulatory electrocardiogram was 93.3%. There was significant difference between the two (P <0.05). Conclusion The value of dynamic electrocardiogram in viral myocarditis lies in that it can find the arrhythmia which is difficult to be found in conventional electrocardiogram and can fully display the abnormal electrocardiogram activity. Combined with its result, clinician can judge and diagnose the disease more completely. Correct guiding treatment and prognosis. At the same time can also be used as a monitoring tool for treatment, through the mastery of the condition recovery, treatment programs can be adjusted in a timely manner in order to achieve the purpose of complete cure for children with clinical.