CN107874752A - Realize the electrometric method and apparatus of the multi-lead heart - Google Patents
Realize the electrometric method and apparatus of the multi-lead heart Download PDFInfo
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- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
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Abstract
The disclosure discloses one kind and realizes the electrometric method and apparatus of the multi-lead heart.Methods described includes：Electrocardio-data collection is carried out according to the standard multi-lead pattern of configuration, obtains electrocardiogram (ECG) data corresponding to standard multi-lead pattern；Switching standards multi-lead pattern is to additional leads pattern；The electrocardio-data collection under additional leads pattern is carried out, obtains electrocardiogram (ECG) data corresponding to additional leads pattern；Integrate electrocardiogram (ECG) data corresponding to the standard multi-lead pattern and additional leads pattern.Thus, just additional multi-lead electrocardio measures on the basis of standard multi-lead pattern, electrocardio-data collection i.e. under additional leads pattern, obtain two parts of electrocardiogram (ECG) datas, and then the dynamic output electrometric electrocardiogram (ECG) data of the multi-lead heart, when the multi-lead electrocardio measurement based on routine has carried out the multi-lead electrocardio measurement of additional, the manual modification of operator is no longer need to rely on, improves efficiency.
Description
Technical field
This disclosure relates to the electrometric method of the multi-lead heart and dress are realized in medical ECG Technique field, more particularly to one kind
Put.
Background technology
With the development of medical technology, to meet the inspection needs of various illness, the measurement of 12 lead electrocardios is usually carried out.12
Lead electrocardio measures, and is for the cardiac muscle of lower wall before covering, and to other orientation of heart, and can not cover comprehensively.
On the basis of the measurement of 12 lead electrocardios, for example, when suspecting rear wall myocardial infarction, it is necessary to additionally do rear wall 3
Lead；When suspecting right ventricle illness, it is necessary to additionally do right side 3 leads of chest, thus, 18 lead altogether.
The ecg equipment being used widely at present is 12 lead electrocardiogram equipment, is needing to carry out 18 leads, even
When the multi-lead electrocardio outside 12 leads measures, chest leads can only be used when finishing conventional 12 lead electrocardios measurement
V1-V3 electrodes connect respectively derives out tri- leads of V3R, V4R and V5R, and V7, V8 and V9 lead are connect respectively with V4, V5 and V6 electrode,
Thus an electrocardiogram (ECG) data is re-recorded.
After the 6 lead electrocardios measurement of the measurement of 12 lead electrocardios and additional is carried out, for the two parts of hearts obtained
Electric data, it is printed respectively, to obtain two parts of electrocardio reports, and then carried out manually on the basis of this two parts of electrocardio reports
Modification, reported with obtaining the electrometric electrocardio of the 18 lead hearts.
It follows that in existing multi-lead electrocardio measurement, conventional multi-lead electrocardio measurement can be only realized automatically, i.e.,
12 lead electrocardios are measured, and corresponding electrocardiogram (ECG) data is measured for other multi-lead electrocardios, by dependent on the manual of operator
Modification, and then corresponding electrocardio report can be accessed.
Therefore, the existing electrometric realization of the multi-lead heart, measure, carry out extra attached in the multi-lead electrocardio based on routine
During the multi-lead electrocardio measurement added, there is the limitation that can not automatically obtain the electrometric electrocardiogram (ECG) data of the multi-lead heart.
The content of the invention
In order to solve to be measured present in correlation technique in the multi-lead electrocardio based on routine, carry out additional more and lead
When joining electrocardio measurement, the technical problem of the electrometric electrocardiogram (ECG) data of the multi-lead heart can not be automatically obtained, present disclose provides one kind
Realize the electrometric method and apparatus of the multi-lead heart.
One kind realizes the electrometric method of the multi-lead heart, including：
Electrocardio-data collection is carried out according to the standard multi-lead pattern of configuration, obtains electrocardio corresponding to the standard multi-lead pattern
Data；
Switch the standard multi-lead pattern to additional leads pattern；
The electrocardio-data collection under the additional leads pattern is carried out, obtains electrocardiogram (ECG) data corresponding to the additional leads pattern；
Integrate electrocardiogram (ECG) data corresponding to the standard multi-lead pattern and additional leads pattern.
In a wherein exemplary embodiment, the step of the switching standard multi-lead pattern to additional leads pattern
Suddenly include：
Receive the instruction for carrying out additional leads electrocardio-data collection；
According to the instruction by the standard multi-lead pattern switching to the additional leads pattern.
In a wherein exemplary embodiment, the step of the switching standard multi-lead pattern to additional leads pattern
Before rapid, methods described also includes：
The instruction for carrying out additional leads electrocardio-data collection is generated according to patient information.
In a wherein exemplary embodiment, the switching standard multi-lead pattern to additional leads pattern
Before step, methods described also includes：
Judge to whether there is abnormal electrocardiogram data in electrocardiogram (ECG) data corresponding to the standard multi-lead pattern, if it has, then
Generate the instruction of the progress additional leads electrocardio-data collection.
It is described to integrate the standard multi-lead pattern and additional leads pattern correspondingly in a wherein exemplary embodiment
Electrocardiogram (ECG) data the step of include：
Multi-lead electro-cardiologic template is determined according to the additional leads pattern；
Electrocardiogram (ECG) data corresponding to the standard multi-lead pattern and additional leads pattern is integrated by the multi-lead electro-cardiologic template.
It is described that the standard multi-lead is integrated by the multi-lead electro-cardiologic template in a wherein exemplary embodiment
Include corresponding to pattern and additional leads pattern the step of electrocardiogram (ECG) data：
Extract electrocardio number corresponding to each lead in electrocardiogram (ECG) data corresponding to the standard multi-lead pattern and additional leads pattern
According to；
Electrocardiogram (ECG) data corresponding to the standard multi-lead pattern is placed in the multi-lead electro-cardiologic template, and in the multi-lead heart
In electric template each under the additional leads pattern lead accordingly is stored according to the storage original position and space length of each lead
Electrocardiogram (ECG) data corresponding to connection, an electrocardiogram (ECG) data file is obtained to merge.
In a wherein exemplary embodiment, the switching standard multi-lead pattern to additional leads pattern
After step, methods described also includes：
The patient information under the patient information and additional leads pattern under the standard multi-lead pattern is matched, judges whether one
Cause, if it has not, then
Patient information under the additional leads pattern is updated to the patient information under the standard multi-lead pattern.
In a wherein exemplary embodiment, the switching standard multi-lead pattern to additional leads pattern
After step, methods described also includes：
Detect whether that all leads are in the state of coming off, if it has, then being matched into described under the standard multi-lead pattern
Patient information and additional leads pattern under patient information the step of, if it has not, then
All leads under the standard multi-lead pattern are waited to enter the state that comes off.
One kind realizes the electrometric device of the multi-lead heart, including：
Standard multi-lead acquisition module, for carrying out electrocardio-data collection according to the standard multi-lead pattern of configuration, obtain described
Electrocardiogram (ECG) data corresponding to standard multi-lead pattern；
Handover module, for switching the standard multi-lead pattern to additional leads pattern；
Additional leads acquisition module, for carrying out the electrocardio-data collection under the additional leads pattern, obtain described add and lead
Electrocardiogram (ECG) data corresponding to gang mould formula；
Module is integrated, for integrating electrocardiogram (ECG) data corresponding to the standard multi-lead pattern and additional leads pattern..
In a wherein exemplary embodiment, the handover module includes：
Instruction reception unit, the instruction of additional leads electrocardio-data collection is carried out for receiving；
Mode switch element, for being instructed according to described by the standard multi-lead pattern switching to the additional leads pattern.
In a wherein exemplary embodiment, the integration module includes：
Template determining unit, for determining multi-lead electro-cardiologic template according to the additional leads pattern；
Data Integration unit, for integrating the standard multi-lead pattern and additional leads mould by the multi-lead electro-cardiologic template
Electrocardiogram (ECG) data corresponding to formula.
The technical scheme provided by this disclosed embodiment can include the following benefits：
In the electrometric realization of the multi-lead heart, electrocardio-data collection is carried out according to the standard multi-lead pattern of configuration first, obtained
To electrocardiogram (ECG) data corresponding to standard multi-lead pattern, then by standard multi-lead pattern switching to additional leads pattern, carry out attached
Add the electrocardio-data collection under lead pattern, obtain electrocardiogram (ECG) data corresponding to additional leads pattern, thus, just in standard multi-lead
Additional multi-lead electrocardio measures on the basis of pattern, i.e. electrocardio-data collection under additional leads pattern, obtains two parts of hearts
Electric data, the integration of two parts of electrocardiogram (ECG) datas is carried out, it is automatic to export the electrometric electrocardiogram (ECG) data of the multi-lead heart, so as to based on routine
The measurement of multi-lead electrocardio carried out additional multi-lead electrocardio measurement when, it is no longer necessary to dependent on operator manually repair
Change, improve efficiency.
It should be appreciated that the general description and following detailed description of the above are only exemplary, this can not be limited
It is open.
Brief description of the drawings
Accompanying drawing herein is merged in specification and forms the part of this specification, shows the implementation for meeting the present invention
Example, and in specification together for explaining principle of the invention.
Fig. 1 is a kind of flow chart for realizing the electrometric method of the multi-lead heart according to an exemplary embodiment；
Fig. 2 is that Fig. 1 is corresponded in embodiment the details of switching standards multi-lead pattern to additional leads mode step is described
Flow chart；
Fig. 3 is to implement a kind of flow chart for realizing the electrometric method of the multi-lead heart shown in people's row according to another exemplary；
Fig. 4 is that Fig. 1 is corresponded in embodiment to integrating electrocardiogram (ECG) data step corresponding to standard multi-lead pattern and additional leads pattern
The flow chart that is described of details；
Fig. 5 is that Fig. 4 is corresponded in embodiment to integrating standard multi-lead pattern and additional leads pattern by multi-lead electro-cardiologic template
The flow chart that the details of corresponding electrocardiogram (ECG) data step is described；
Fig. 6 is a kind of flow chart for realizing the electrometric method of the multi-lead heart according to another exemplary embodiment；
Fig. 7 is a kind of flow chart for realizing the electrometric method of the multi-lead heart according to another exemplary embodiment；
Fig. 8 is a kind of block diagram for realizing the electrometric device of the multi-lead heart according to an exemplary embodiment；
Fig. 9 is that Fig. 8 corresponds to the block diagram that the details of handover module is described in embodiment；
Figure 10 is the corresponding block diagrams that the details for integrating module is described for implementing to exemplify of Fig. 8；
Figure 11 is a kind of block diagram for realizing the electrometric device of the multi-lead heart according to another exemplary embodiment.
Embodiment
Here explanation will be performed to exemplary embodiment in detail, its example is illustrated in the accompanying drawings.Following description is related to
During accompanying drawing, unless otherwise indicated, the same numbers in different accompanying drawings represent same or analogous key element.Following exemplary embodiment
Described in embodiment do not represent and the consistent all embodiments of the present invention.On the contrary, they be only with it is such as appended
The example of the consistent apparatus and method of some aspects being described in detail in claims, of the invention.
Fig. 1 is a kind of flow chart for realizing the electrometric method of the multi-lead heart according to an exemplary embodiment.Should
The electrometric method of the multi-lead heart is realized, as shown in figure 1, may comprise steps of.
In step 110, electrocardio-data collection is carried out according to the standard multi-lead pattern of configuration, obtains standard multi-lead mould
Electrocardiogram (ECG) data corresponding to formula.
Wherein, standard multi-lead pattern is used to control current electrocardio-data collection real using conventional multi-lead electrocardio measurement
It is existing.The standard multi-lead electrocardio measurement of conventional multi-lead electrocardio measurement, also referred to as ecg equipment, is ecg equipment institute
The major function being pre-configured with, in other words, for ecg equipment, connecting for its all lead, just realize routine
Multi-lead electrocardio measurement.
In one exemplary embodiment, conventional multi-lead electrocardio measurement, the measurement of as 12 lead electrocardios；Certainly, may be used
The measurement of conventional multi-lead electrocardio, can be 9 lead electrocardios measurement etc., herein in other exemplary embodiments of the invention with understanding
Do not enumerated one by one.
Electrocardio-data collection is carried out under the standard multi-lead pattern of configuration, you can it is corresponding to export this standard multi-lead pattern
Electrocardiogram (ECG) data.For example, by taking the measurement of 12 lead electrocardios as an example, on display interface, 12 electrocardiographic waves will be obtained, and successively
It is shown as I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6 waveform, and lead symbol corresponding to sign respectively.
The electrocardiogram (ECG) data obtained, it is the Wave data corresponding to this 12 electrocardiographic wave.
In one exemplary embodiment, the electrocardio-data collection of standard multi-lead pattern, the collection of electrocardiogram (ECG) data is included,
In addition, it further comprises the waveform corresponding to electrocardiogram (ECG) data and show process, and the caching of electrocardiogram (ECG) data.
Specifically, with the electrocardio-data collection carried out under standard multi-lead pattern, by the boundary of ecg equipment
The display of electrocardiographic wave is carried out on face according to the electrocardiogram (ECG) data obtained by collection, each electrocardiographic wave sign is led accordingly
Join symbol.
In addition, after the acquisition time that the electrocardio-data collection carried out reaches preset, by the electrocardio number obtained by gathering
Be cached to according to according to certain form in internal memory, and with the beginning of corresponding patient information, this collection between, acquisition time etc.
Information caches in the lump.
In one exemplary embodiment, before carrying out electrocardio-data collection under standard multi-lead pattern, detection is each
Whether total electrocardiosignal noise of lead be less than threshold value, if it is, carrying out electrocardio-data collection, ensures electrocardiogram (ECG) data with this
The accuracy of collection, avoid being disturbed by noise.
For in the electrometric realization of the multi-lead heart of the disclosure, first by the standard multi-lead pattern configured, carrying out
Electrocardio-data collection under standard multi-lead pattern, and then cause the multi-lead heart electrometric realization of the disclosure, Neng Gouji
Electrocardio-data collection under standard multi-lead pattern is carried out.
In step 130, switching standards multi-lead pattern is to additional leads pattern.
Wherein, it is necessary first to explanation, the lead pattern of configuration, on the one hand, including standard multi-lead pattern, the opposing party
Face, it further comprises additional leads pattern.Also, for additional leads pattern, according to the multi-lead electrocardio realized of most terminal survey
The species of amount, it can be only a kind of additional leads pattern or a variety of additional leads patterns.
For example, it is assumed that only needing to realize that 18 lead electrocardios measure, it is measured as in the multi-lead electrocardio of standard multi-lead pattern
When 12 lead electrocardios measure, additional leads pattern will only be the extra lead pattern for carrying out 6 additional leads collections；If will also
The measurement of 16 lead electrocardios is taken into account, then additional leads pattern further comprises the extra lead pattern for carrying out 4 additional leads collections.
Additional leads pattern is used to control the electrometric progress of the additional leads heart.According to the current desired multi-lead to be realized
Electrocardio is measured, and the switching of additional leads pattern is carried out based on standard multi-lead pattern.
It should be understood that currently have in the multi-lead electrocardio measurement for needing to realize, the lead quantity and mark that are related to
The lead quantity being related under difference between the lead quantity being related under quasi- multi-lead pattern, as additional leads pattern.
After the electrocardio-data collection under standard multi-lead pattern is realized by abovementioned steps 110, the mark that is carried out
Switching between quasi- multi-lead pattern and additional leads pattern, can be carry out automatically or operator trigger manually
Carry out, herein without limiting.
In one exemplary embodiment, standard multi-lead pattern the cutting to additional leads pattern for carrying out automatically
Change, on the one hand, can by identify patient information determine a need for carry out additional leads electrocardio measure, and then trigger into
Automatic switchover of the quasi- multi-lead pattern of rower to additional leads pattern.
On the other hand, can be come by the identification of abnormal electrocardiogram data in electrocardiogram (ECG) data corresponding to standard multi-lead pattern
Trigger automatic switchover of the carry out standard multi-lead pattern to additional leads pattern.
In step 150, the electrocardio-data collection under additional leads pattern is carried out, obtains the heart corresponding to additional leads pattern
Electric data.
Wherein, after additional leads pattern is switched to by step 130, electrocardio number is carried out under this additional leads pattern
According to collection.
Electrocardio-data collection the in the specific implementation, guide and the of access supplementary electrode can be included under additional leads pattern
The collection of secondary electrocardiogram (ECG) data.
In one exemplary embodiment, after by standard multi-lead pattern switching to additional leads pattern, the heart is passed through
Display interface in electrograph equipment, access the guide of supplementary electrode, treated for example, being shown in the display interface of electrocardio equipment
The electrode title of connection.
Specifically, according to the additional leads pattern being switched to, the prompt message of electrode to be connected is generated, and is shown, is entered
And for operator, can be smooth to realize supplementary electrode exactly according to the prompt message of the electrode to be connected of display
Access.
For example, in the measurement of 18 lead electrocardios is continued to complete, measured with multi-lead electrocardio corresponding to standard multi-lead pattern
Exemplified by being measured for 12 lead electrocardios, during by standard multi-lead pattern switching to additional leads pattern, ecg equipment passes through display
Interface prompt continues to complete the measurement of 18 lead electrocardios, and shows the prompt message of electrode to be connected.
Specifically, in display interface, lead to be connected is directly displayed, operator directly moves corresponding electrode i.e.
Can, the search procedure that operator carries out additional leads is eliminated, it is convenient and swift, improve the operating efficiency of operator.
For example, V1, V2 and V3 electrode respectively and can be sequentially added V3R, V4R and V5R position of the right chest of patient by operator
Put；V4, V5 and V6 respectively and are sequentially added V7, V8 and V9 position of patient's back.
It is to be checked to measure waveform stabilization, i.e., total electrocardiosignal noise of each lead after the access of supplementary electrode is completed
Less than threshold value, then the collection of second of electrocardiogram (ECG) data is proceeded by, and after reaching default acquisition time, by resulting electrocardio
Data are cached in internal memory according to certain form.
It is similar with the collection of first time electrocardiogram (ECG) data, it is corresponding at the beginning of between and collection duration, patient information etc.
Information is also cached in the lump.
In another example in the measurement of 15 lead electrocardios is continued to complete, the 12 lead heart is also measured as with standard multi-lead electrocardio
Exemplified by electrical measurement, during by standard multi-lead pattern switching to additional leads pattern, ecg equipment by display interface prompt after
It is continuous to complete the measurement of 15 lead electrocardios, and show the prompt message of electrode to be connected.
According to the prompt message of electrode to be connected, operator carries out the access of 3 supplementary electrodes to patient.By V1, V2 and
V3 electrodes respectively and are sequentially ingressed into right chest V3R, V4R and V5R position of patient；At the same time, the display interface in ecg equipment
Just waveform is carried out to show.
It is to be checked when measuring waveform stabilization, the collection of second of electrocardiogram (ECG) data is proceeded by, and then reaching default collection
After time, electrocardiogram (ECG) data is cached in internal memory according to certain form.
For another example in the measurement of 16 lead electrocardios is continued to complete, also with multi-lead electrocardio corresponding to standard multi-lead pattern
It is measured as exemplified by the measurement of 12 lead electrocardios, during by standard multi-lead pattern switching to additional leads pattern, ecg equipment passes through
Display interface prompting continues to complete the measurement of 16 lead electrocardios, and shows the prompt message of electrode to be connected.
According to the prompt message of electrode to be connected, operator continues to carry out patient the access of 4 supplementary electrodes, in order to
Carry out the electrocardio-data collection of 4 additional leadses.
V1, V2, V3 and V4 electrode respectively and are sequentially added V3R, V4R, V5R and V7 position；At the same time, electrocardiogram is set
Display interface in standby just carries out waveform and shown, and the collection of second of electrocardiogram (ECG) data is realized by foregoing process, enters
And finally give electrocardiogram (ECG) data.
In step 170, electrocardiogram (ECG) data corresponding to standard multi-lead pattern and additional leads pattern is integrated.
Wherein, as previously described, the electrocardio-data collection and additional leads pattern of the standard multi-lead pattern of progress are passed through
Electrocardio-data collection, respectively obtain two parts of electrocardiogram (ECG) datas, it is therefore desirable to this two parts of electrocardiogram (ECG) datas are integrated with one by one
Individual electrocardiogram (ECG) data file.
Pass through process as described above so that ecg equipment can be automatically the required multi-lead electrocardio measurement carried out
Carry out the processing of electrocardiogram (ECG) data, it is no longer necessary to two parts of electrocardios are being reported to the manual modification after printing dependent on operator,
And complete information storage also is carried out for patient, i.e., can directly store final complete electrocardiogram (ECG) data file, and has been kept away
Exempt from that in existing multi-lead electrocardio measurement final electrocardiogram (ECG) data file can not be obtained, and can only preserve to two parts of electrocardio numbers
According to two parts of electrocardio reports obtained from printing respectively.
In one exemplary embodiment, standard multi-lead pattern and additional leads are being realized by multi-lead electro-cardiologic template
Electrocardiogram (ECG) data corresponding to pattern is integrated and obtains an electrocardio data file, in this electrocardiogram (ECG) data file, will also incorporate correlation
Attribute information, in order to realize the printout of details.
Wherein, attribute information includes checking information, facility information and measurement diagnostic message etc., by its electrocardio number with integration
According to polymerization in one file, facilitate operator to carry out medical record management and check, and can also improve follow-up printing electrocardio report
The efficiency of announcement, save the time-write interval.
During being printed to electrocardiogram (ECG) data file, Initialize installation is carried out first, obtains exporting configuration information,
The output configuration information includes the information such as print speed, gain and record format, in order to be incited somebody to action according to the output configuration information
Electrocardiographic wave recorded on printing paper.
In one exemplary embodiment, according to the carried out electrometric variety classes of the multi-lead heart, will determine different
Layout, in order to ensure the accurate output of electrocardio report.
For example, being reported for 18 lead electrocardios, its record format can include but is not limited to：6*3、6*3+1R、6*2+6*
1st, 6 × 2+6 × 1+2R and 12 × 1+6 × 1.
When it is 6*3 to export the record format in configuration information, it will be reported in same one page and print 3 groups of waveforms, every group 6
Lead waveform, first group is followed successively by I, II, III, aVR, aVL, aVF from top to bottom, second group be followed successively by from top to bottom V1, V2,
V3, V4, V5, V6, the 3rd group is followed successively by V3R, V4R, V5R, V7, V8, V9 from top to bottom.
And for each lead, its last preset length, for example, the waveform of last 3.3 seconds is by storage multi-lead electrocardio
Correspondence position in template, and mark waveform start/stop time.Such as one lead record when a length of 10 seconds, then labeled as 6.7 seconds
~ 10.0 seconds.
In one exemplary embodiment, after the integration for realizing electrocardiogram (ECG) data, just carried out in display interface corresponding
Waveform is shown.At this point it is possible to by the selection of the waveform segment carried out in display interface, the heart is carried out according to the printing starting point of determination
The printing that telegram is accused.
Here, with foregoing similar, still the waveform of last preset length is added up backward.
In another example being reported for 16 lead electrocardios, its record format can include but is not limited to：4*4 and 4*4+1R.
It is 4*4 when exporting the record format in configuration information, will be reported in same one page and print 4 groups of waveforms, every group 4 are led
Join waveform, first group is followed successively by I, II, III, V3R from top to bottom, and second group is followed successively by aVR, aVL, aVF, V4R from top to bottom,
3rd group is followed successively by V1, V2, V3, V5R from top to bottom, and the 4th group is followed successively by V4, V5, V6, V7 from top to bottom.
For each lead, its last 2.5 seconds waveform is sequentially stored into the correspondence position in multi-lead electro-cardiologic template, and mark
Remember waveform start/stop time.Such as one lead record when a length of 10 seconds, then labeled as 7.5 seconds ~ 10 seconds.
For another example being reported for 15 lead electrocardios, its record format can include but is not limited to：3*5、3*5+1R、6+9、6
+6+3、6+6+1R。
It is 6+6+3 when exporting the record format in configuration information, will be reported in same one page and print 3 groups of waveforms, preceding 2 groups of bags
6 lead waveforms are included, last group includes 3 lead waveforms.First group be followed successively by from top to bottom I, II, III, aVR, aVL,
AVF, second group is followed successively by V1, V2, V3, V4, V5, V6 from top to bottom, and the 3rd group is followed successively by V3R, V4R, V5R from top to bottom.
For each lead, its last 3.3 seconds waveform is sequentially stored into the correspondence position in multi-lead electro-cardiologic template, and mark
Remember waveform start/stop time.Such as one lead record when a length of 10 seconds, then labeled as 6.7 seconds ~ 10 seconds.
It should be understood that the full lead electrocardiogram equipment produced both at home and abroad in the market, its price is very expensive, enters
And cause the measurement of multi-lead electrocardio, example 18 lead electrocardio measurement as the aforementioned, and can not be widely applied clinically, or
It is and clinically can not carries out easily and fast, and then is difficult to accomplish patient comprehensive assessment.
And by the multi-lead electrocardio measuring method described in the disclosure, can be according to the electrometric needs of the heart, adaptively
The multi-lead electrocardio measurement of species required for progress, and new equipment need not be bought, extra increase cost, on the one hand carry
The high heart is electrometric comprehensive, also improves the electrometric efficiency of the heart.
In one exemplary embodiment, before the electrocardio-data collection under carrying out standard multi-lead pattern, i.e. Fig. 1 is corresponding real
Apply in example, before step 110, this realizes the electrometric method of the multi-lead heart, further comprising the steps of.
The lead pattern according to corresponding to determining patient information, the lead pattern are that children's lead pattern or standard multi-lead join
Pattern.
When the lead pattern is children's lead pattern, the electrocardio-data collection under children's lead pattern is carried out, is obtained
Electrocardiogram (ECG) data corresponding to virgin pattern.
Wherein, patient information have recorded age and/or inspection project, therefore, can be according to corresponding to determining patient information
Lead pattern.
When lead pattern is children's lead pattern, according to progress children's lead mould in the display interface of ecg equipment
Formula is guided.In one exemplary embodiment, children's lead pattern for being carried out is guided, including 9 leads of access prompting and
Electrode to be connected is indicated, the heart under children's lead pattern can be carried out according to this children's lead mode instruction in order to operator
Electric data collecting.
By process as described above, to enable the electrometric realization of the multi-lead heart to be adaptively adapted to various diseases
People, and then ensure the electrometric accuracy of the multi-lead heart, improve the electrometric efficiency of the heart.
In one exemplary embodiment, the electrocardiogram (ECG) data collected under children's lead pattern, by according to pre- record
Form, for example, 6+3, or the record format such as 3*3+1R, recorded and cached, in order to which operator can print finally
Electrocardio report, and realize the orderly storage of electrocardiogram (ECG) data.
Fig. 2 is the flow chart that the details of step 130 is described according to an exemplary embodiment.The step
130, as shown in Fig. 2 may comprise steps of.
In step 131, the instruction for carrying out additional leads electrocardio-data collection is received.
Wherein,, will with the completion of electrocardio-data collection under multi-lead pattern in the multi-lead electrocardio measurement carried out
The instruction for carrying out additional leads electrocardio-data collection can be received.
Carry out additional leads electrocardio-data collection instruction, can be in ecg equipment certain module according to patient information
Generation or abnormal electrocardiogram data that a module is in electrocardiogram (ECG) data is identified and generate, it is of course also possible to be logical
Other manner acquisition is crossed, herein without limiting.
In step 133, according to instruction by standard multi-lead pattern switching to additional leads pattern.
Wherein, the switching between standard multi-lead pattern and additional leads pattern is carried out automatically according to the instruction received,
And then enable in ecg equipment second of electrocardio-data collection after first time electrocardio-data collection is completed it is continuous from
It is dynamic to carry out, it ensure that the continuity in the measurement of multi-lead electrocardio.
Thus, the Intelligent Measurement of additional leads pattern switching will be realized, on the one hand operator be difficult to judge whether
When needing to carry out the electrocardio-data collection of additional leads, quick judgement and switching are intelligently realized, avoids the generation of erroneous judgement.
In one exemplary embodiment, before abovementioned steps 130, the multi-lead electrocardio measuring method, in addition to it is following
Step.
The instruction for carrying out additional leads electrocardio-data collection is generated according to patient information.
Wherein, patient information is used for the details for providing patient, for example, patient information includes patient identifier, patient's surname
The information such as name, date of birth, phone, address, inspect-type, inspection project and medical history, think that carried out multi-lead electrocardio is surveyed
Amount provides auxiliary information.
In one exemplary embodiment, the source of patient information, following source can be included but is not limited to：
（1）Operator is manually entered in ecg equipment；
（2）Operator is inputted by scanning barcode；
（3）Operator is obtained by identity card or social security card；
（4）Operator downloads the patient information of storage in ecg equipment.
After patient information is obtained by any source, just patient information is cached, used for follow-up.
Content reading is carried out to patient information, sentenced according to the inspection project and/or medical history that are included in the patient information of reading
It is fixed whether to carry out additional leads electrocardio-data collection, if it has, then generation carries out the instruction of additional leads electrocardio-data collection, if
It is no, then by electrocardiogram (ECG) data printout electrocardio report corresponding to standard multi-lead pattern.
In one exemplary embodiment, in the patient information of reading, inspection project measures comprising standard multi-lead electrocardio
When multi-lead electrocardio more than corresponding lead quantity measures, generation carries out the instruction of additional leads electrocardio-data collection, after
The continuous electrocardio-data collection for carrying out additional leads.
For example, when standard multi-lead electrocardio is measured as the measurement of 12 lead electrocardios, when reading in patient information in inspection project
When lead information to be checked contains the multi-lead electrocardio measurement that 12 lead the above, generation carries out additional leads electrocardio-data collection
Instruction.
In another exemplary embodiment, the electrometric illness of the multi-lead heart that carries out as needed, predetermined word is configured
Section.
Corresponding, patient information is read, the matching between patient information and preset field is carried out, is deposited in patient information
In the field matched with preset field, generation carries out the instruction of additional leads electrocardio-data collection.
The preset field of configuration, including the fields such as rear change in wall, right wall are abnormal, infarct and ST are abnormal.
Multi-lead electrocardio measurement is adaptively carried out in ecg equipment according to medical history in this manner, will realize, and then
Multi-lead electrocardio measurement can be carried out to the patient for being badly in need of carrying out comprehensive heart detection, its conventional disease string of accurate evaluation is drilled
Change degree.
Fig. 3 is that one kind according to an exemplary embodiment realizes the electrometric method of the multi-lead heart.The realization is led more
Join the electrometric method of the heart, as shown in figure 3, may comprise steps of.
In step 210, it whether there is abnormal electrocardiogram data in electrocardiogram (ECG) data corresponding to criterion multi-lead pattern, if
It is yes, then into step 230, if it has not, then entering step 250.
Wherein, after the electrocardio-data collection that embodiment is realized under standard multi-lead pattern is corresponded to by Fig. 1, in institute
The judgement of abnormal electrocardiogram data in obtained electrocardiogram (ECG) data.
As previously described, electrocardiogram (ECG) data has corresponded to certain waveform, that is to say, that can pass through the identification phase of unusual waveforms
It should determine that abnormal electrocardiogram data present in electrocardiogram (ECG) data.
In one exemplary embodiment, Fig. 1 corresponds to step 110 in embodiment and completes the collection of electrocardiogram (ECG) data and cache it
Afterwards, the electrocardiogram (ECG) data of caching is extracted, judges waveform corresponding to electrocardiogram (ECG) data with the presence or absence of ST sections exception, T ripples exception and pathologic Q
Any unusual waveforms such as ripple, such as, there is deep spill negative T wave in V1 waveforms and V2 waveforms or T wave height is alarmmed or during abnormality Q wave, raw
Into the instruction for carrying out additional leads electrocardio-data collection.
In step 230, generation carries out the instruction of additional leads electrocardio-data collection.
In step 250, by electrocardiogram (ECG) data printout electrocardio report corresponding to standard multi-lead pattern.
Pass through process as described above so that, can be according to actual conditions certainly in the measurement of standard multi-lead electrocardio is carried out
Additional leads electrocardio-data collection is adaptively carried out, and then ensure that the comprehensive and accuracy of electrocardiographic examination.
Fig. 4 is the flow chart that the details of step 170 is described according to an exemplary embodiment.The step
170, as shown in figure 4, comprising the following steps.
In step 171, multi-lead electro-cardiologic template is determined according to additional leads pattern.
Wherein, in ecg equipment, according to the electrometric needs of the multi-lead heart, surveyed for one or more kinds of multi-lead electrocardios
Amount accordingly provides one or more kinds of multi-lead electro-cardiologic templates.
For example, an ecg equipment, its all lead connects realized multi-lead electrocardio measurement, i.e. the standard multi-lead heart
Electrical measurement measures for 12 lead electrocardios, and is to support the measurement of 18 lead electrocardios, has been pre-configured with 18 lead electro-cardiologic templates, Jin Ergen
When knowing that the additional electrocardio for having carried out 6 leads measures according to additional leads pattern, you can determine currently used 18 lead electrocardio mould
Plate.
In addition, it can also be pre-configured with one kind in 9 lead electro-cardiologic templates, 15 lead electro-cardiologic templates and 16 lead electro-cardiologic templates
Or it is a variety of, and then enable an ecg equipment adaptively to support various multi-lead electrocardios to measure.
In step 173, integrated by multi-lead electro-cardiologic template corresponding to standard multi-lead pattern and additional leads pattern
Electrocardiogram (ECG) data.
Wherein, after multi-lead electro-cardiologic template used in being determined by abovementioned steps 171, in step 173, more
In the presence of lead electro-cardiologic template, obtained by the electrocardiogram (ECG) data and second of electrocardiogram acquisition obtained by filling first time electrocardiogram acquisition
Electrocardiogram (ECG) data, thus just realize the integration of two electrocardiogram (ECG) datas, and then obtain an electrocardiogram (ECG) data file.
Fig. 5 is the flow chart that the details of step 173 is described according to an exemplary embodiment.The step
173, as shown in figure 5, may comprise steps of.
In step 1731, each lead in electrocardiogram (ECG) data corresponding to extraction standard multi-lead pattern and additional leads pattern
Corresponding electrocardiogram (ECG) data.
Wherein, as described in Fig. 1 corresponds to embodiment, the heart is realized under standard multi-lead pattern and additional leads pattern respectively
The collection of electric data, resulting electrocardiogram (ECG) data will be cached respectively.
Therefore, it is corresponding, the multi-lead electro-cardiologic template used in step 130 determination in embodiment is corresponded to by Fig. 1
Afterwards, electrocardiogram (ECG) data corresponding to extraction standard multi-lead pattern and additional leads pattern in the buffer.
It should be understood that no matter measured for standard multi-lead electrocardio, or additional leads electrocardio-data collection, be all by
What multiple leads were realized, therefore, the electrocardiogram (ECG) data collected electrocardiogram (ECG) data corresponding to each lead forms in order.
Therefore, in the electrocardiogram (ECG) data of extraction, electrocardiogram (ECG) data corresponding to each lead is further determined that.
In step 1733, standard multi-lead pattern is corresponded into electrocardiogram (ECG) data and is placed in multi-lead electro-cardiologic template, and is being led more
In connection electro-cardiologic template each under additional leads pattern lead accordingly is stored according to the storage original position and space length of each lead
Electrocardiogram (ECG) data corresponding to connection, an electrocardiogram (ECG) data file is obtained to merge.
Wherein, it is necessary first to explanation, it is corresponding either for standard multi-lead pattern, or additional leads pattern
Electrocardiogram (ECG) data in, each lead has a corresponding one piece of data, i.e., can in the electrocardiogram (ECG) data obtained by electrocardio-data collection
To obtain electrocardiogram (ECG) data corresponding to each lead.
Therefore, entered between electrocardiogram (ECG) data corresponding to electrocardiogram (ECG) data corresponding to standard multi-lead pattern and additional leads pattern
Capable integration, will be the process of electrocardiogram (ECG) data integration corresponding to each lead.
Specifically, on the one hand, be to be carried out because electrocardiogram (ECG) data corresponding to standard multi-lead pattern is complete
The measurement of multi-lead electrocardio in completely exist, as the part of an entirety, therefore, and need not be to the electrocardio number of each lead
Integrated, but be directly filled with to multi-lead electro-cardiologic template according to taking out respectively.
On the other hand, due to electrocardiogram (ECG) data corresponding to additional leads pattern, additionally realized under standard multi-lead pattern
Data filling, and for the electrocardio-data collection that additional leads pattern is realized, each lead is to be directed to standard multi-lead
The relative multi-lead electrocardio the to be realized measurement of the electrocardio-data collection of pattern, it is existing as the lead of missing.
Therefore the electrocardiogram (ECG) data corresponding to each lead, relative to standard multi-lead pattern, will be scattered data, it is necessary to
In multi-lead electro-cardiologic template the electrocardiogram (ECG) data of corresponding lead is carried out according to the storage original position and space length of each lead
Deposit, the electrocardiogram (ECG) data corresponding with standard multi-lead pattern of the electrocardiogram (ECG) data of each lead under additional leads pattern is incorporated into
Together.
By process as described above, due to the storage original position for denoting each lead in multi-lead electro-cardiologic template
And space length, therefore can be with, accurately filling for all electrocardiogram (ECG) datas directly can be achieved by this, it is simple and easy, and can protect
Demonstrate,prove the integrality and accuracy of electrocardiogram (ECG) data filling.
Fig. 6 is that one kind according to an exemplary embodiment realizes the electrometric method of the multi-lead heart.The realization is led more
Join the electrometric method of the heart, after step 130, as shown in fig. 6, may comprise steps of.
In the step 310, the patient information under the patient information and additional leads pattern under standard multi-lead pattern is matched,
Judge whether unanimously, if it has not, then entering step 330, if it has, then without any processing.
Wherein, for the electrocardio-data collection under the standard multi-lead pattern that is carried out, and under additional leads pattern
Electrocardio-data collection, due to respectively for a patient information, it is necessary to will to the patient information under standard multi-lead pattern and
Patient information consistency check under additional leads pattern, it is ensured that patient information and additional leads mould under standard multi-lead pattern
Patient information under formula is consistent, and then ensures the accuracy of the electrocardio report of the electrocardiogram (ECG) data file and printing ultimately generated.
In a step 330, the patient patient information under additional leads pattern being updated under standard multi-lead pattern believes
Breath.
Wherein, by matching, the patient information under standard multi-lead pattern and the patient under additional leads pattern are determined
, it is necessary to be modified to a patient information when information is not consistent.
It should be understood that the electrocardio-data collection carried out under standard multi-lead pattern, is in the measurement of multi-lead electrocardio
First time electrocardio-data collection, the patient information corresponding to it are that the operator of ecg equipment is obtained by various modes,
Therefore the possibility of its error is very low.
And the electrocardio-data collection carried out under additional leads pattern, it is second of electrocardiogram (ECG) data in the measurement of multi-lead electrocardio
Collection, the patient information corresponding to it, will continue to use patient information corresponding to first time electrocardio-data collection, and now, obtained
Patient information error possibility it is of a relatively high, therefore, when both are not consistent, it is necessary to by the disease under additional leads pattern
People's Information revision is the patient information under standard multi-lead pattern, to ensure the consistent of multi-lead electrocardio measuring center electricity data
Property.
Fig. 7 is that one kind according to an exemplary embodiment realizes the electrometric method of the multi-lead heart.The realization is led more
Join the electrometric method of the heart, after step 130, as shown in fig. 7, further comprising the steps of.
In step 410, detect whether that all leads are in the state of coming off, if it has, then into step 310, if
It is no, then into step 430.
Wherein, the step 130 in embodiment is corresponded to by Fig. 1 realizes standard multi-lead pattern to additional leads pattern
Switching after, it may be determined that be currently needed for carry out second of electrocardio-data collection.
Thus, whether the state of coming off will be handled by all leads, whether to assess first time electrocardio-data collection
Terminate, it is determined that first time electrocardio-data collection is over, when will carry out second of electrocardio-data collection, progress first is sick
The consistency check of people's information, in order to ensure the accuracy of data storage in ecg equipment.
In step 430, all leads under standard multi-lead pattern are waited to enter the state that comes off.
By process as described above, the end of electrocardio-data collection, Neng Gouzhun under accurate examination criteria multi-lead pattern
Really perceiving electrocardio-data collection under additional leads pattern will start, orderly in the measurement of multi-lead electrocardio to ensure with this
Property, it is that the collection of electrocardiogram (ECG) data under additional leads pattern is prepared.
Following is embodiment of the present disclosure, can be used for performing that the disclosure is above-mentioned realizes the electrometric method of the multi-lead heart
Embodiment.For the details not disclosed in embodiment of the present disclosure, it refer to the disclosure and realize the electrometric side of the multi-lead heart
Method embodiment.
Fig. 8 is a kind of block diagram for realizing the electrometric device of the multi-lead heart according to an exemplary embodiment.The reality
The electrometric device of the existing multi-lead heart, as shown in figure 8, including but is not limited to：Standard multi-lead acquisition module 610, handover module
630th, additional leads acquisition module 650, template determining module 670 and integration module 690.
Standard multi-lead acquisition module 610, for carrying out electrocardio-data collection according to the standard multi-lead pattern of configuration, obtain
To electrocardiogram (ECG) data corresponding to standard multi-lead pattern.
Handover module 630, for switching standards multi-lead pattern to additional leads pattern.
Additional leads acquisition module 650, for carrying out the electrocardio-data collection under additional leads pattern, obtain additional leads
Electrocardiogram (ECG) data corresponding to pattern.
Module 670 is integrated, for integrating electrocardiogram (ECG) data corresponding to standard multi-lead pattern and additional leads pattern.
Fig. 9 is the block diagram that the details of handover module is described according to an exemplary embodiment.The switching mould
Block 630, as shown in figure 9, can include but is not limited to：Instruction reception unit 631 and mode switch element 633.
Instruction reception unit 631, the instruction of additional leads electrocardio-data collection is carried out for receiving.
Mode switch element 633, for according to instruction by standard multi-lead pattern switching to additional leads pattern.
Figure 10 is the corresponding block diagrams that the details for integrating module is described for implementing to exemplify of Fig. 8.The integration module
670, as shown in Figure 10, include but is not limited to：Template determining unit 671 and data integral unit 673.
Template determining unit 671, for determining multi-lead electro-cardiologic template according to additional leads pattern.
Data Integration unit 673, for integrating standard multi-lead pattern and additional leads mould by multi-lead electro-cardiologic template
Electrocardiogram (ECG) data corresponding to formula.
In one exemplary embodiment, this realizes the electrometric device of the multi-lead heart, also includes but is not limited to：Patient believes
Cease identification module.The patient information identification module, additional leads electrocardio-data collection is carried out for holding generation according to patient information
Instruction.
Figure 11 is a kind of block diagram for realizing the electrometric device of the multi-lead heart according to an exemplary embodiment, the reality
The electrometric device of the existing multi-lead heart, also includes but is not limited to：Abnormal judge module 710 and directive generation module 730.
Abnormal judge module 710, for whether there is the abnormal heart in electrocardiogram (ECG) data corresponding to criterion multi-lead pattern
Electric data, if it has, then notification instruction generation module 730, if it has not, then without any processing.
Directive generation module 730, the instruction of additional leads electrocardio-data collection is carried out for generating.
It should be appreciated that the invention is not limited in the precision architecture for being described above and being shown in the drawings, and
And various modifications and changes can be being performed without departing from the scope.The scope of the present invention is only limited by appended claim.
Claims (11)
1. one kind realizes the electrometric method of the multi-lead heart, it is characterised in that including：
Electrocardio-data collection is carried out according to the standard multi-lead pattern of configuration, obtains electrocardio corresponding to the standard multi-lead pattern
Data；
Switch the standard multi-lead pattern to additional leads pattern；
The electrocardio-data collection under the additional leads pattern is carried out, obtains electrocardiogram (ECG) data corresponding to the additional leads pattern；
Integrate electrocardiogram (ECG) data corresponding to the standard multi-lead pattern and additional leads pattern.
2. according to the method for claim 1, it is characterised in that the switching standard multi-lead pattern to additional leads
The step of pattern, includes：
Receive the instruction for carrying out additional leads electrocardio-data collection；
According to the instruction by the standard multi-lead pattern switching to the additional leads pattern.
3. according to the method for claim 2, it is characterised in that the switching standard multi-lead pattern to additional leads
Before the step of pattern, methods described also includes：
The instruction for carrying out additional leads electrocardio-data collection is generated according to patient information.
4. according to the method for claim 2, it is characterised in that the switching standard multi-lead pattern to additional leads
Before the step of pattern, methods described also includes：
Judge to whether there is abnormal electrocardiogram data in electrocardiogram (ECG) data corresponding to the standard multi-lead pattern, if it has, then
Generate the instruction of the progress additional leads electrocardio-data collection.
5. according to the method for claim 1, it is characterised in that described to integrate the standard multi-lead pattern and additional leads
Include corresponding to pattern the step of electrocardiogram (ECG) data：
Multi-lead electro-cardiologic template is determined according to the additional leads pattern；
Electrocardiogram (ECG) data corresponding to the standard multi-lead pattern and additional leads pattern is integrated by the multi-lead electro-cardiologic template.
6. according to the method for claim 5, it is characterised in that described that the mark is integrated by the multi-lead electro-cardiologic template
Include corresponding to quasi- multi-lead pattern and additional leads pattern the step of electrocardiogram (ECG) data：
Extract electrocardio number corresponding to each lead in electrocardiogram (ECG) data corresponding to the standard multi-lead pattern and additional leads pattern
According to；
Electrocardiogram (ECG) data corresponding to the standard multi-lead pattern is placed in the multi-lead electro-cardiologic template, and in the multi-lead heart
In electric template each under the additional leads pattern lead accordingly is stored according to the storage original position and space length of each lead
Electrocardiogram (ECG) data corresponding to connection, an electrocardiogram (ECG) data file is obtained to merge.
7. according to the method for claim 1, it is characterised in that the switching standard multi-lead pattern to additional leads
After the step of pattern, methods described also includes：
The patient information under the patient information and additional leads pattern under the standard multi-lead pattern is matched, judges whether one
Cause, if it has not, then
Patient information under the additional leads pattern is updated to the patient information under the standard multi-lead pattern.
8. according to the method for claim 7, it is characterised in that the switching standard multi-lead pattern to additional leads
After the step of pattern, methods described also includes：
Detect whether that all leads are in the state of coming off, if it has, then being matched into described under the standard multi-lead pattern
Patient information and additional leads pattern under patient information the step of, if it has not, then
All leads under the standard multi-lead pattern are waited to enter the state that comes off.
9. one kind realizes the electrometric device of the multi-lead heart, it is characterised in that including：
Standard multi-lead acquisition module, for carrying out electrocardio-data collection according to the standard multi-lead pattern of configuration, obtain described
Electrocardiogram (ECG) data corresponding to standard multi-lead pattern；
Handover module, for switching the standard multi-lead pattern to additional leads pattern；
Additional leads acquisition module, for carrying out the electrocardio-data collection under the additional leads pattern, obtain described add and lead
Electrocardiogram (ECG) data corresponding to gang mould formula；
Module is integrated, for integrating electrocardiogram (ECG) data corresponding to the standard multi-lead pattern and additional leads pattern.
10. device according to claim 9, it is characterised in that the handover module includes：
Instruction reception unit, the instruction of additional leads electrocardio-data collection is carried out for receiving；
Mode switch element, for being instructed according to described by the standard multi-lead pattern switching to the additional leads pattern.
11. device according to claim 9, it is characterised in that the integration module includes：
Template determining unit, for determining multi-lead electro-cardiologic template according to the additional leads pattern；
Data Integration unit, for integrating the standard multi-lead pattern and additional leads mould by the multi-lead electro-cardiologic template
Electrocardiogram (ECG) data corresponding to formula.
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| CN113223649A (en) * | 2020-01-20 | 2021-08-06 | 深圳市理邦精密仪器股份有限公司 | Method for acquiring multi-lead electrocardiogram data and related equipment and device |
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| CN113223702A (en) * | 2021-05-17 | 2021-08-06 | 北京蓬阳丰业科技有限公司 | Method and equipment for deriving leads V3 and V4 based on electrocardio unipolar leads V2 and V5 |
| CN113223702B (en) * | 2021-05-17 | 2022-05-03 | 北京蓬阳丰业科技有限公司 | Method and equipment for deriving leads V3 and V4 based on electrocardio unipolar leads V2 and V5 |
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