论文部分内容阅读
患者男性,37岁。一个月前因隐匿性左侧旁路合并顺向性房室折返性心动过速在我院行射频导管消融术治疗,出院半个月后反复发作心悸、胸闷、头晕,持续时间数小时不等,可自行终止。此次因心悸、头晕、胸闷6h来我院急诊。体格检查:心率187次/min,心律齐,血压90/60mm Hg(1 mm Hg=0.133 kPa)。查心电图(图1),图1A常规12导联心电图P波不能辨认,QRS波宽大畸形,时限140～160ms,呈右束支阻滞(RBBB)型。伴额面心电轴左
Male patient, 37 years old. A month ago due to occult left bypass bypass merger of atrioventricular reentrant tachycardia in our hospital radiofrequency catheter ablation treatment, recurrent half a month after discharge heart palpitations, chest tightness, dizziness, the duration of a few hours ranging , Can terminate on its own. The heart palpitations, dizziness, chest tightness 6h to our hospital emergency room. Physical examination: heart rate 187 beats / min, heart rate, blood pressure 90/60 mm Hg (1 mm Hg = 0.133 kPa). Check the ECG (Figure 1), Figure 1A conventional 12-lead ECG P wave can not be identified, QRS large wave deformity, the time limit 140 ~ 160ms, showed a right bundle branch block (RBBB) type. Accompanied by face left axis