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我们于1980年发现一家两代共4人患束支传导阻滞(图1)。5年来又陆续发现两个家族共9例患者。现将临床观察结果报告如下: 先证者1,陈××(图1、家族Ⅰ,第Ⅲ代,第6例),男性,19岁,学生,未婚。患者因右肩酸痛半年,于1980年6月14日就诊。(其母患两上肺浸润型肺结核)。体检:血压116/60,心肺无阳性发现。化验正常。X线胸片:肺无实质性病灶,心影大小正常。心电图检查:R—R:0.80〃,心率:75次,P—R:0.16〃,QRS:0.14〃,电轴:-74°,QRS_Ⅰ、aVL呈Rs型,Ⅱ、Ⅲ、aVF呈rS型,S_Ⅲ>S_Ⅱ,S_Ⅲ、Ⅱ、aVL、aVF、V_5宽钝,aVR、V_1呈QR及rSR′型,R及R′宽钝切迹。心电图诊断:完全性右束支传导阻滞伴左前半支阻滞。
We found a cohort of 4 patients with bundle branch block in one generation in 1980 (Figure 1). Over the past 5 years, two families have been found in a total of 9 patients. Now the clinical observation results are reported as follows: proband 1, Chen × × (Figure 1, family Ⅰ, the third generation, 6 cases), male, 19 years old, students, unmarried. Patients with pain in the right shoulder for six months, in June 14, 1980 treatment. (The mother of two pulmonary infiltrative pulmonary tuberculosis). Physical examination: blood pressure 116/60, no positive pulmonary heart and lung. Laboratory tests. X-ray: lung no substantive lesions, heart shadow size normal. ECG: R-R: 0.80 “, heart rate: 75 times, P-R: 0.16”, QRS: 0.14 ", electrical axis: -74 °, QRS_Ⅰ, aVL was Rs type, S_Ⅲ> S_Ⅱ, S_Ⅲ, Ⅱ, aVL, aVF, V_5 are blunt, aVR, V_1 are QR and rSR ’type, R and R’ are blunt notch. ECG Diagnosis: Complete right bundle branch block with left anterior block.