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患者女性,58岁,因反复抽搦、晕厥于1988年4月18日23:00入院。临床诊断:高血压、冠心病、阿斯综合征?当时未作心电图记录。4月19日10:00常规12导联心电图Ⅱ、Ⅲ、aVF导联T波倒置,胸前导联ST段压低1—2.5mV、U波直立,T、U波融合,Q-T、U时间0.48—0.54s。此次反复非连续记录的Ⅱ、Ⅲ导联(附图)示:中行末P波和下行P_(7-8)均直立,但形态不同,P_8在T_7始端未下传,上行P_2可能是房性融合波,联律间期不等,P-R间期0.16s,可能是起源于心房上部的多源性房早。有两种基本形态的QRS波群,时限均为0.08s,1种呈rs(LAFB)型,电轴左偏,其前均有相关P(P’)波,P’-R 0.10s、频率67—70次/
Female, 58, was admitted to hospital at 23:00 on April 18, 1988 because of repeated pumping. Clinical Diagnosis: Hypertension, Coronary Heart Disease, Asperger Syndrome? April 19, 10:00 Conventional 12-lead ECG Ⅱ, Ⅲ, aVF lead T wave inversion, chest lead ST segment depression 1-2.5mV, U wave upright, T, U wave fusion, QT, U time 0.48 -0.54s. The repeated non-continuous recorded II, III lead (with photos) shows: the end of P line and downstream P_ (7-8) were upright, but the morphology is different, P_8 at the beginning of T_7 is not transmitted, up P_2 may be room Sexual fusion wave, associated law interval, PR interval 0.16s, may be originated in the upper part of atrium multi-source atrial early. There are two basic forms of QRS complex, the time limit is 0.08s, one was rs (LAFB) type, left axis deviation, before the relevant P (P ’) wave, P’-R 0.10s, frequency 67-70 times /