本例图形清晰,室性早搏的分布呈周期性变化,重复三次以上,说明此重复有必然性,而非偶然巧合。完全符合 Kinoshita 所谓的“折返径路中的 B 型交替性反文克白周期”。Kinoshita 是一位就图论图的大师,想象力丰富,但释图往往偏玄就繁。其实,这类图有的也可用单层阻滞解释。本例患者恢复顺利,预后良好,未必需用多层阻滞解释。我们期望有更多的病例,通过周密的临床研究,对 Kinoshita 的假说进行临床实践检验。 In this case the pattern is clear, the distribution of premature ventricular contraction changes cyclically, repeated more than three times, indicating the necessity of this repetition, rather than accidental coincidence. In full compliance with Kinoshita’s so-called “B-type alternating anti-Whiter cycle” in the turnaround path. Kinoshita is a master on graph theory, imaginative, but the interpretation of the figure is often partial to the mysterious. In fact, some of these maps can also be used to explain the single-layer block. In this case, the patient recovered smoothly with a good prognosis, which may not be explained by the multi-layer block. We expect more cases to be tested clinically for Kinoshita’s hypothesis through careful clinical research.