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患者男性,30岁,临床疑诊:心肌炎。心电图(附图,见第102页)示: 1.突性心律Ⅱ、Ⅴ_2导均有直立P,时间、电压正常,P-P0.94—1.44s,为窦律不齐。P-R0.13s,QRS Ⅱ呈gR型、V_1呈rS型,S波升肢错折明显,时间、电压正常。T_Ⅱ直立,T_(Ⅴ_1)低平切迹。 2.并行心律(PSR) 两导均有提前之QRS(Ⅱ导R_(2、5、8、11、14、16),Ⅴ_1导R_(2、4、7、9、12、14)),形态有的和窦性下传者同惟伴T改变;有的呈RBBB类型(Ⅱ导R_(2、16),V_1导R_(2、4、9、14)),畸形程
Male patient, 30 years old, clinical suspicion: myocarditis. ECG (with photos, see page 102) shows: 1. Sudden cardiac rhythm Ⅱ, V 2-lead are upright P, time and voltage is normal, P-P0.94-1.44s, sinus rhythm. P-R0.13s, QRS Ⅱ was gR-type, V_1 was rS-type, S-wave hyperextension miscarriage obvious, time, voltage is normal. T_ Ⅱ upright, T_ (V_1) low-level notch. There was QRS (Ⅱ, R_ (2,5,8,11,14,16), R_ (2,4,7,9,12,14)) in the two directions of PSR, Some and sinus undergrowth with the only partner T changes; some were RBBB type (Ⅱ lead R_ (2,16), V_1 lead R_ (2,4,9,14)), abnormalities