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心电图的尖顶军盔征于2011年由Littmann在《梅奥医学杂志》发表的文章中首次提出,其为患者存在院内死亡高危风险的一种心电图表现,因心电图的图形特征与第一次世界大战时德国普鲁士军盔相像而得名(图1A、B)。[心电图特征]患者多因腹腔或胸腔压力急剧增加而引发心电图尖顶军盔征(图1),表现为QRS波前后的基线偏移。具体特征包括:(1)ST段抬高;(2)QRS波前后的基线向上偏移;(3)QRS波的R波尖锐。
The steeplechase sign of the electrocardiogram was first proposed by Littmann in the Mayo Clinic in 2011 as an ECG manifestation of the high risk of nosocomial death in patients with electrocardiographic features associated with the First World War When the German Prussia military helmet similar named (Figure 1A, B). [ECG features] Patients often due to a sharp increase in abdominal or chest pressure and lead to the steeplecancer of the steeplecranial electrocardiogram (Figure 1), showing the baseline QRS wavefront shift. Specific features include: (1) ST segment elevation; (2) QRS wavefront baseline up shift; (3) QRS wave R wave sharp.