论文部分内容阅读
文氏现象是传导阻滞的一种特殊形式,可发生于传导系统的任何部位。以下报告1例间歇性左束支传导阻滞文氏现象,并结合文献予以讨论。男,65岁。胸闷、心悸、劳累后气短4年,高血压6年,波动于170～190/96～110,但无浮肿及慢性咳嗽史。体检:心率平均96次,血压180/100,颈静脉无怒张,胸廓无畸形,心浊音界向左下扩大,心尖区及主动脉瓣区可闻及Ⅱ级收缩期杂音,肺部无异常。腹平软,肝脾未触及,下肢无浮肿。化验血胆固醇232mg%,甘油三脂180mg%。X 线透视左心室扩大,眼底检查示动脉硬化改变。临床
Wen’s phenomenon is a special form of conduction block can occur in any part of the conduction system. The following report of a case of intermittent left bundle branch block Venturi phenomenon, combined with the literature to be discussed. Male, 65 years old. Chest tightness, palpitations, tiredness after a short period of 4 years, hypertension for 6 years, fluctuations in 170 ~ 190/96 ~ 110, but no history of edema and chronic cough. Physical examination: the average heart rate 96 times, blood pressure 180/100, no jugular vein engorgement, thoracic no deformity, cardiac voiced sound sector to the left to expand, apical and aortic valve area can be heard and Ⅱ systolic murmur, no abnormal lung. Abdomen soft, liver and spleen not touched, lower extremity no edema. Blood cholesterol test 232mg%, triglyceride 180mg%. X-ray left ventricular enlargement, fundus examination showed atherosclerosis change. clinical