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文氏型束支传导阻滞较少见,并发于阵发性室上性心动过速(PSVT)者更少。作者遇见1例,分析报告如下。女,21岁,因心悸4月于1987年2月4日入院。既往素健,无晕厥史。体查:血压14.6/8.0kPa,心界不大,心率64次/min,律齐,心音较钝,心尖区Ⅱ级收缩期杂音。余无阳性发现。血、尿常规、血沉、血清电解质等均正常。胸透阴性。超声心动图正常。ECG(附图上行):窦性心律,P-R 间期0.12s,平均额面电轴-76°,QRS 波时限0.13s,Ⅰ导呈qRs 形,Ⅲ导呈rSr(?)形,V_1呈rSR(?)形,V5呈Rs 形(S 波宽而深),故为完全性右束支阻滞
Wen’s bundle branch block is rare, and concurrent paroxysmal supraventricular tachycardia (PSVT) were fewer. The authors met in 1 case, the analysis report is as follows. Female, 21 years old, admitted to hospital on April 4, 1987 due to palpitations. Past health, no history of syncope. Physical examination: blood pressure 14.6 / 8.0kPa, heart is not, heart rate 64 beats / min, law Qi, blunt heart, apical systolic murmur. I found no positive. Blood, urine, ESR, serum electrolytes are normal. Thoracotomy negative. Echocardiography normal. ECG (top of the figure): sinus rhythm, PR interval 0.12s, average frontal plane axis -76 °, QRS wave duration 0.13s, Ⅰ lead was qRs-shaped, Ⅲ lead was rSr (? (?) Shape, V5 was Rs-shaped (S wave width and deep), it is completely right bundle branch block