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患者男性,55岁。胸闷、心悸、心前区隐痛3天,入院当天因晕厥一次而于1981年3月14日急诊入院.在3个月前曾患急性下壁心肌梗塞。体检:神志清楚,面色苍白,冷汗淋漓,血压测不出,心率210次/分,律齐,无杂音。肺无罗音。腹软,肝脾未触及。即于上午9.30分和9.45分先后进行了2次心电图检查。临床诊断:1.阿斯综合征;2.亚急性下壁心肌梗塞。心电图特征 1981年3月14日上午9时30分:各导联无 P 波,R-R 规则,QRS 间期0.12秒,ORS 宽大畸形,频率210次/分,各导联 T 波与主波方向相反。V_1呈 rS 型,S 波增宽,V_5呈 R 型,R 波增宽,提示似左束支传导阻滞图型(图1)。额面电轴+7°。
Male patient, 55 years old. Chest tightness, palpitations, anterior area pain for 3 days, on the day of admission due to syncope once and in March 14, 1981 emergency hospitalization in 3 months ago had acute inferior myocardial infarction. Physical examination: conscious, pale, cold sweat, blood pressure can not be measured, heart rate 210 beats / min, law Qi, no noise. Lung non-rales. Abdomen soft, liver and spleen not touched. That is 9.30 in the morning and 9.45 points have carried out 2 ECG. Clinical diagnosis: 1. Asperger syndrome; 2. Subacute inferior wall myocardial infarction. ECG characteristics March 14, 1981 9:30: the lead no P wave, RR rule, QRS interval of 0.12 seconds, ORS large deformity, the frequency of 210 beats / min, each lead T wave opposite to the main wave direction . V_1 was rS-type, S-wave broadening, V_5 was R-type, R-wave broadening, suggesting a left bundle branch block pattern (Figure 1). Frontal electric axis + 7 °.