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患者男性,57岁.临床诊断:高血压病.心电图Ⅱ联连续记录(附图)示:窦性心律,频发房早,P’-R间期干扰性延长,R_2为房早伴右束支阻滞型室内差异性传导,P’波部分受阻,部分伴房性反复心搏;上行R_(4、10)提前出现并明显畸形增宽,为室早,联律间期为0.50s.下行R_(5、9)提前出现,QRS波形态畸形程度轻于室早,联律间期与上行室早的联律间期相同为0.50s,似多形性室早,但其前分别有P’和 P~-波,P’-R与P~--R间期分别为0.248和0.185,又似房早及房性反复心搏伴左束支阻滞型室内差异性传
Patients with male, 57 years old. Clinical diagnosis: Hypertension. ECG Ⅱ continuous record (with photos) shows: sinus rhythm, frequent atrial fibrillation, P’-R interferential prolongation, R_2 for atrial appendage right bundle Branch block type of indoor conduction, P ’wave was partially obstructed, part of the room with repeated heart beats; upward R_ (4,10) appeared ahead of time and obvious deformity widened as ventricular anterior intercourse interval 0.50s. Downstream R_ (5,9) appeared in advance, QRS wave morphology deformity was less than room early, associated with the law of the interventricular septum and early ascending interventricular systolic interval was 0.50s, pleomorphic as early as early, but before the respectively P ’and P ~ - wave, P’-R and P ~ - R interval were 0.248 and 0.185, respectively, and atrial early and atrial tachycardia with left bundle branch block type indoor differential sex