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患者 男,56岁.注院号:921961。因咳嗽、咳痰、痰中带血、伴左胸痛,偶有右胸痛;活动后无胸憋、气短、心慌。于1992年4月29日以左肺癌入院。查体:BP为14/9Kpa(106/68mmHg),心尖搏动位于右锁中线第五肋间.胸片示:主动脉弓,心影,胃泡、肝脏转位。B超示:内脏全部转位。入院时心电图示:P_1、avl倒置,PⅡ、Ⅲ、avF_1V_(1 6)直立.P_(4vR)呈双向(负正):QRS波群在Ⅰ、avl导联呈Qr波型,Ⅱ、Ⅲ、avF导联呈qR波型,R+,逐渐降低。T_1、avl倒置,TavR呈直立。将双上肢导联反接并加作V_(3R)—V_(6R),P_1、Ⅱ、Ⅲ、avF_1V_(1 6)直立.P_(4vL)双向,P_(4vR)倒置;QRS
Male patient, 56 years old. Hospital number: 921961. Due to cough, sputum, sputum blood, with left chest pain, occasional chest pain; chest chest, shortness of breath, palpitation. On April 29, 1992, he was admitted to the hospital with left lung cancer. Physical examination: BP was 14/9 Kpa (106/68 mmHg), and the apex beat was located in the fifth intercostal space of the right locking midline. The chest radiograph showed: aortic arch, heart shadow, stomach bubble, liver transposition. B ultrasound shows: all internal organs transposition. Electrocardiograms on admission: P_1, avl inversion, PII, III, avF_1V_(16) upright, P_(4vR) bidirectional (negative positive): QRS complexes are Qr waves in leads I, avl, II, III, The avF leads to a qR wave pattern, R+ gradually decreases. T_1 and avl are inverted, and TavR is upright. Reverse the leads of the upper limbs and add V_(3R)—V_(6R), P_1, II, III, avF_1V_(16) upright, P_(4vL) bidirectional, P_(4vR) inversion; QRS