继发于房室传导阻滞(AVB)之交界性逸搏心律和干扰性房室脱节并不多见,又合并室性并行心律(VPSR)者更少。现报告一例: 女,76岁,1985年9月20日因冠心病、房颤、慢性心衰入院。入院时心电图描记(图1):Ⅱ导,P波顺序出现,振幅、时间正常。P—P 0.80～0.94秒(75～64次/分),P—R 0.26秒,QRS呈Rs1’s’型,时间0.12秒,后半部增宽(胸导图形可 Paroxysmal atrial rhythm secondary to atrioventricular block (AVB) and disrupted atrioventricular septum are rare, and fewer are associated with ventricular arrhythmia (VPSR). Now report a case: female, 76 years old, September 20, 1985 due to coronary heart disease, atrial fibrillation, chronic heart failure admitted. Admission electrocardiogram (Figure 1): Ⅱ guide, P wave order, amplitude, time is normal. P-P 0.80 ~ 0.94 seconds (75 ~ 64 beats / min), P-R 0.26 seconds, QRS was Rs1’s’ type, time 0.12 seconds, the latter half of the widening