论文部分内容阅读
患者男性,22岁,发现心律不齐,10余年,因感冒来院就诊,体检:心律不齐,无病理性杂音,双肺(一)。M 型超声及二维超声心动图检查:右心室内径均为39mm,右心室内径分别为42mm、43mm,诊断为右房、右室肥大。胸透:心脏处形右心缘圆钝。临床诊断:心律失常,扩张型心肌病。心电图示:Ⅰ、Ⅱ导联第1、2、3个 P波 aVF、V_1、V_5导联第1、2个 P 波为直立高尖的窦性 P 波,P_Ⅱ电压0.28mV,显示右房肥大。P-P间距0.84s—0.80s,频率平均—73次/min,P-R间期0.12s,QRS 时限0.16s,QRS 波群起始部有6波,V_(?)、V_5导联主波向上,符合 A 型预激综合症图形。Ⅰ、Ⅱ、Ⅲ导联的 P_3—R_3,aVF、aVF、V_1、V_5的 P_2—R_2间期突然延长至0.42s 后,连
Male patient, 22 years old, found arrhythmia, more than 10 years, due to flu to hospital, medical examination: arrhythmia, no pathological murmur, lung (a). M-mode ultrasound and two-dimensional echocardiography: right ventricular diameter were 39mm, right ventricular diameter were 42mm, 43mm, the diagnosis of right atrium, right ventricular hypertrophy. Chest thoracotomy: heart-shaped right edge obtuse. Clinical diagnosis: arrhythmia, dilated cardiomyopathy. ECG: Ⅰ, Ⅱ Lead 1, 2, 3 P-wave aVF, V_1, V_5 leads the first and second P wave sinus upright high-pitched P wave, P_ Ⅱ voltage 0.28mV, showing right atrial hypertrophy . PP interval 0.84s-0.80s, frequency average-73 times / min, PR interval 0.12s, QRS duration 0.16s, QRS wave group at the beginning of 6 waves, V _ (?), V_5 leads the main wave up, in line with A Wolff-Parkinson-White syndrome. P_3-R_3, aVF, aVF, V_1, V_5 and P_2-R_2 in Ⅰ, Ⅱ and Ⅲ leads suddenly extend to 0.42s,