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房室结内双径路或多径路的报道已不少见,但在体表心电图上显示为双径路内双文氏周期似未见报道。现将我们遇到的1例报道于下。患者女性,28岁,主诉心慌、急躁、怕热数月,体检:双眼球稍突出,甲状腺肿大右侧更甚,双手震颤,心率114次/分,律不齐,肺(一),临床诊断:甲状腺功能亢进。附图(见第35页)为Ⅰ导联连续记录的心电图,示P波直立,振幅增高,频率97—112次/分,尚匀齐。P-R逐渐延长,直至一次P波未下传,然后再次重复,符合文氏型房室传导阻滞,但不典型,如P-R增量出现负值(P-R
Atrioventricular nodal dual-track or multi-path coverage of the report is not uncommon, but showed on the body surface ECG as double-bingo within the cycle did not seem to have been reported. Now we have encountered one case reported below. Female patient, 28 years old, complained of palpitation, impatience, fear of heat months, physical examination: slightly prominent eyes, goiter on the right even more, tremor, heart rate 114 beats / min, irregular lungs, Diagnosis: Hyperthyroidism. Figure (see page 35) for the lead Ⅰ continuous ECG recorded, showed P wave upright, increased amplitude, the frequency of 97-112 beats / min, uniform even. P-R gradually extended until a P wave is not transmitted, and then repeated again, consistent with aventricular-type atrioventricular block, but not typical, such as P-R increment negative (P-R