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患者女性,57岁,因头痛、呕吐、意识不清3h 于1988年11月20日入院。临床诊断:蛛网膜下腔出血。当日心电图示(图略):两种不同类型的 P 波,一种为圆顶直立型窦性 P 波,P-R间期0.14s,P-P 间距规律,频率64次/min,其后均继以室上性 QRS 波群;另一种为尖窄形逆形性 P′波,P′-P′间距规律,频率143次/min,均未下传心室。同时还可见以上两种 P 波重叠。心电图诊断:窦性心律,完全性房内阻滞,心房分离,孤立性房性心动过速(附图 A)。5天后心电图转为正常(附图 B)。
Patient Female, 57 years old, admitted to hospital on November 20, 1988 due to headache, vomiting, unconsciousness 3h. Clinical diagnosis: subarachnoid hemorrhage. The same day ECG (Figure omitted): two different types of P wave, one for the dome upright sinus P wave, PR interval 0.14s, PP spacing rules, frequency 64 times / min, followed by room Superior QRS complex; the other is sharp and narrow shaped inverse P ’wave, P’-P’ spacing law, the frequency of 143 beats / min, did not pass down the ventricle. Also seen above two P wave overlap. ECG diagnosis: sinus rhythm, complete atrial block, atrial septal, isolated atrial tachycardia (Figure A). The electrocardiogram turned normal after 5 days (Figure B).