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笔者曾见1例室性心动过速患者较长时间内误诊为室上性心动过速伴室内差异传导,经加用食道导联心电图得以证实为右束支阻滞型伴电轴左偏的特发性室性心动过速,现报道如下.患者男性,37岁.因发作性心悸2年,再发1天于1987年12月10日来院急诊、体检:发育营养正常,血压13.6/9.3kPa,心界不大,心率160次/分,律齐,临床诊断:病毒性心肌炎.外院心电图报告室上性心动过速伴室内差异传导.
I have seen a case of ventricular tachycardia patients misdiagnosed for a long time with supraventricular tachycardia with differential conduction through the use of esophageal lead ECG confirmed as right bundle branch block type with left axis deviation Idiopathic ventricular tachycardia, are reported as follows.Patients male, age 37.Because of onset of heart palpitations 2 years, 1 day after the re-issued in December 10, 1987 to emergency hospital, physical examination: normal nutrition, blood pressure 13.6 / 9.3 kPa, heart, heart rate 160 beats / min, law Qi, clinical diagnosis: viral myocarditis .Outer hospital ECG report of supraventricular tachycardia with indoor conduction.