持续性心房静止的心室律常为室上性,而表现为右束支阻滞型室性自搏心律,尤其是伴有U波电交替者,尚未见文献报道。现将我院所见1例报告如下。患者男性,56岁。6年前开始出现头晕、乏力,心悸伴间歇性全身浮肿,呼吸困难,每于劳累时加重,服双氢克尿塞可缓解。近2—3年来上述症状渐重,并时有短暂晕厥发作,曾多次做心电图检查示无P波、R-R规则,室率40-50次/分,QRS波群呈右束支阻滞形(附图A,见第101页)。1986年1月7日来院复诊,体检:BP126/60心界不大,心率46次/分,律齐,P_2>A_2,S_2分裂,心尖区闻及Ⅱ级收缩期杂音,余无异常。超声心动图检查:α峰消失,无左心房搏动,左房稍大。X线吞钡左心房无搏 Persistent atrial ventricular beings ventricular static often manifested as right bundle branch block-type ventricular stroke, especially associated with U wave alternant, has not been reported in the literature. Now I see a hospital report is as follows. Male patient, 56 years old. 6 years ago began to appear dizzy, fatigue, palpitations with intermittent systemic edema, difficulty breathing, each exertion worse, serving hydrochlorothiazide can ease. The past 2-3 years, the symptoms gradually heavier, and sometimes a brief episode of syncope, have repeatedly done electrocardiogram showed no P wave, RR rules, ventricular rate 40-50 beats / min, QRS complex was right bundle branch block (Figure A, page 101). January 7, 1986 to hospital for referral, physical examination: BP126 / 60 heart, heart rate 46 beats / min, law Qi, P_2> A_2, S_2 split, apex area smell and Ⅱ systolic murmur, I no exception. Echocardiography: Alpha peak disappeared, no left atrial beating, left atrial slightly larger. X-ray barium left atrium without stroke