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本文报导了肺心病监护病房对30例(31例次)重症肺心病人(失代偿期性呼吸衰竭),进行72小时连续心电图监护,其中发生心律失常者27例,心律失常检出率为87.1％,与国外报导相近(Holford等91％,72小时ECG监测,Kleigre等84％,10小时ECG监护)。发生两种及3种心律失常者各11例,占40.74％。心律失常类型中以房性早搏最多,共23例,占85.2％;室性早搏次之,13例,占48.2％;阵发性房性心动过速7例,占25.9％;交界区早搏5例,占18.5％,心房纤颤。3例,占7.4％;交界性心律及心动过速各2例,共占11.1％,其余左房心律、房性反复心律、房室传导阻滞Ⅱ°、右束枝传导阻滞、左前束枝传导阻滞、心室纤颤各1例,占3.7％。
This article reports the pulmonary heart disease care unit on 30 patients (31 cases) severe pulmonary heart disease (decompensated respiratory failure), 72 hours continuous ECG monitoring, including 27 cases of arrhythmia, the detection rate of arrhythmia 87.1%, similar to foreign reports (Holford et al 91%, 72-hour ECG monitoring, Kleigre et al 84%, 10-hour ECG monitoring). There were 11 cases of two types and three types of arrhythmia, accounting for 40.74%. Atrial arrhythmias in the type of atrial premature beats up to a maximum of 23 cases, accounting for 85.2%; ventricular premature beats, 13 cases, accounting for 48.2%; paroxysmal atrial tachycardia in 7 cases, accounting for 25.9%; border zone premature beats 5 Cases, accounting for 18.5%, atrial fibrillation. 3 cases, accounting for 7.4%; borderline rhythm and tachycardia in 2 cases, a total of 11.1%, the remaining left atrial rhythm, atrial tachycardia, atrioventricular block Ⅱ °, right bundle branch block, left bundle Branch conduction block, ventricular fibrillation in 1 case, accounting for 3.7%.