论文部分内容阅读
1912年Cohn和Lewis首先报道阵发性心房颤动伴心脏暂时停搏和阿斯综合征发作的病例。1954年Short将快慢交替的心律失常归为一种特殊症群,但未引起足够重视,一般仍以三度房室传导阻滞作为引起阿斯综合征的主因。1966年颜、陶等氏分析了5例快慢交替心律失常患者的心电图与临床表现,其中2例有阿斯综合征的频繁发作;认为本病的基本心律为高度窦性心动过缓,常件有窦性静止或窦房阻滞,是窦房结功能衰竭引起,故称之为窦房结功能衰竭。本症具有以下特征:(1)经常出现缓慢的交界区性或结下逸搏,并可伴有房室传导阻滞或伴发室上性(少数为室性)心动过速;(2)神经因素可触发心律的改变;(3)病因往往不明,病程长,心功能影响少,主要表现为心律失常而心脏扩大,心力衰竭少见,可引起晕厥、栓塞及阿斯综合征。
In 1912 Cohn and Lewis first reported paroxysmal atrial fibrillation with cardiac arrest and asthma syndrome cases. Short in 1954 Short alternating arrhythmia as a special group, but did not pay enough attention, the general is still a third degree atrioventricular block as the main cause of Asperger’s syndrome. In 1966, Yan et al. Analyzed the electrocardiogram and clinical manifestations of 5 patients with alternating arrhythmias. Among them, 2 patients had frequent episodes of Asperger syndrome. The basic rhythm of this disease was considered to be highly sinus bradycardia, Sinus or sinus arrest, is caused by sinus node failure, it is called sinus node failure. The disease has the following characteristics: (1) often appear slow border zone or escape anencesty, and may be associated with atrioventricular block or associated supraventricular (a few of the ventricular tachycardia); (2) Neurological factors can trigger changes in heart rhythm; (3) etiology is often unknown, long course, little effect of cardiac function, mainly as arrhythmia and heart enlargement, heart failure rare, can cause syncope, embolism and Asperger’s syndrome.