SIQIIITIII、T波改变在急性肺栓塞中诊断价值的研究进展

Progress in the Study of the Diagnostic Value of SIQIIITIII and T-Wave Changes in Acute Pulmonary Embolism

摘要: 肺栓塞是临床表现差异很大的心肺血管疾病，其死亡率较高，仅次于急性心肌梗死及脑卒中，近年来，随着CT下肺动脉造影的普及，急性肺栓塞的诊断率也逐渐增加，肺栓塞的诊疗方案也逐渐规范化。但非特异的临床表现、局限的诊疗手段使得其直接诊断较为困难，漏诊、误诊、延迟诊断时常发生，如何降低急性肺栓塞的早期死亡率及改善该类患者的预后仍是目前的一大世界难题。SIQIIITIII、T波改变等是目前研究较多的心电图变化特征，大量研究表明SIQIIITIII、T波改变等心电图表现在急性肺栓塞的初步诊断中有重要意义。此文章主要对SIQIIITIII、T波改变等心电图表现在急性肺栓塞中的诊断价值研究进展作一综述，为急性肺栓塞的早期诊断及有效治疗提供一些理论依据。

Abstract: Pulmonary embolism is a cardiopulmonary vascular disease with widely varying clinical manifesta-tions, and has a high mortality rate, second only to acute myocardial infarction and stroke. In recent years, with the popularization of CT pulmonary angiography, the diagnosis of acute pulmonary em-bolism has gradually increased, and the treatment protocols for pulmonary embolism have gradu-ally been standardized. However, the non-specific clinical manifestations and limited diagnostic tools make it difficult to diagnose the disease directly, and missed diagnosis, misdiagnosis and de-layed diagnosis often occur, so how to reduce the early mortality of acute pulmonary embolism and improve the prognosis of these patients is still a major challenge in the world. SIQIIITIII and T-wave changes are the most studied features of ECG changes, a large number of studies have shown that SIQIIITIII and T-wave changes are important in the initial diagnosis of acute pulmonary embolism. This article is a review of the diagnostic value of SIQIIITIII and T-wave changes in acute pulmonary embolism and provides some theoretical basis for the early diagnosis and effective treatment of acute pulmonary embolism.