在儿科临床上时常遇到患儿心电图多个导联出现T波低平或倒置的改变,此时医生常按“心肌损害、心肌受累”诊治。实际上引发小儿T波倒置的原因很多,其中有相当一部分属于良性变异或功能性改变。提高对心电图T波改变临床意义的认识,可防止或减少误诊误治。最近中国医科大学附属第一医院诊治1例功能性T波倒置的患儿,特报告如下。 In pediatric clinical often encountered in multiple leads of children with ECG T-wave flat or inverted change, the doctor often press “myocardial damage, myocardial involvement ” diagnosis and treatment. In fact, many causes of T wave inversion in children, of which a considerable part of the benign variation or functional changes. Improve the clinical significance of T wave changes in ECG, to prevent or reduce misdiagnosis and mistreatment. Recently, the First Affiliated Hospital of China Medical University diagnosis and treatment of a case of functional T wave inversion in children, special report is as follows.