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(心)室颤(动)大多由各种心脏病引起。年轻人因室颤导致猝死并不常见。在心电图正常或无特异表现且无任何器质性心脏病的情况下发生的心律失常,称为“特发性”。随着诊断技术的发展,一些所谓特发性心律失常经仔细检查还是有病因的。作者回顾性分析6例“特发性”室颤年轻人的临床检查资料。6例中,男性5例,女性1例;年龄14~35岁。各例均系复苏存活者,在排除器质性心脏病之后而收住院作进一步检查。有心脏病家族史者4例。全部病例心电图为窦性心律。P-R间期延长1例。完全性右束支阻滞2例;不完全性右束支阻滞1例。T_(v1~3)倒置并有后电位1例。ST_(v1~2)呈上斜型抬高3例。心胸比率小于0.5者5例;等于0.5者1例。作
(Heart) ventricular fibrillation (moving) mostly caused by a variety of heart disease. Sudden death due to ventricular fibrillation in young people is not common. Arrhythmia, which occurs with normal or non-specific ECG and without any organic heart disease, is called “idiopathic.” With the development of diagnostic techniques, some so-called idiopathic arrhythmias are carefully examined for their etiology. The authors retrospectively analyzed 6 cases of “idiopathic” ventricular fibrillation clinical examination of young people. 6 cases, 5 males and 1 females; aged 14 to 35 years. All cases were resuscitation survivors in the exclusion of organic heart disease admitted to hospital for further examination. Family history of heart disease in 4 cases. All cases ECG sinus rhythm. P-R prolongation in 1 case. Complete right bundle branch block in 2 cases; incomplete right bundle branch block in 1 case. T_ (v1 ~ 3) inverted and posterior potential in 1 case. ST_ (v1 ~ 2) was oblique-type elevation in 3 cases. Cardiothoracic ratio of less than 0.5 in 5 cases; equal to 0.5 in 1 case. Make