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临床遇到快速宽大的QRS波群,通常首先考虑室速,但往往要结合心电图及临床表现具体分析,否则容易导致严重后果,兹介绍我院重症医学科突发宽大QRS波群心动过速误认为室性心动过速病例一例,情况如下:患者蒋某,男,68岁,诊断:慢性阻塞性肺疾病急性发作并肺部感染Ⅱ型呼吸衰竭肺性脑病,气管插管接呼吸机辅助呼吸,既往无心律失常病史。突发心律失常,心电监测示心率波动在142~166bpm,查床旁心电图示:QRS波群宽大畸形,心率166~188bpm(如图1所示)。
Clinical encounter rapid and broad QRS complex, usually the first consideration of ventricular tachycardia, but often combined with ECG and clinical manifestations of specific analysis, otherwise easily lead to serious consequences, it is introduced to our hospital sudden severe QRS complex tachycardia error A case of ventricular tachycardia, the following is the case: patients Jiangmou, male, 68 years old, diagnosis: acute exacerbation of chronic obstructive pulmonary disease and pulmonary infection type Ⅱ respiratory failure pulmonary encephalopathy, endotracheal intubation ventilator-assisted breathing , No previous history of arrhythmia. Sudden cardiac arrhythmia, ECG monitoring showed heart rate fluctuations in the 142 ~ 166bpm, check bedside ECG: QRS complex large deformity, heart rate 166 ~ 188bpm (Figure 1).