论文部分内容阅读
病例患者,女性,62岁。因头晕,发现血压高10余年,症状加重伴心悸、胸闷5天入院。查体:Bp25.3/16,双肺无罗音,心界稍向左扩大,律不齐,无杂音。血糖、血脂正常。眼底Ⅱ级动脉硬化.胸片心脏呈主动脉型,主动脉迂曲增宽,左心(?)稍延伸.临床诊断:高血压病Ⅰ期,高血压性心脏病。入院时心电图示窦性心律,心率约60次/分,P—R0.20s,QRS时限0.08s,(?)面QRS电轴—13°,R_(v5)+S_(v1)=7.2mv,I avL、V_4、V_6、S—T段水平型下移0.1～0.15mv,Q—T间期0.56s(正常最高值0.44s).V_12、V_52、I3—7,avR_2—26个P’提前出现(avR导上下两行为连续描记)重叠于前面的T波之中,其后的QRS呈完全性左束支阻滞型,QRS时限0.14s,P’-R约0.18s,svR-26及I 3-7个波群R-R(P-P)不很规则,频率约79次/分,avR26后有代偿.心电图诊断:窦性心律,频发房性期前收缩,短阵房速并3相性左束支
Case patient, female, 62 years old. Because of dizziness, blood pressure was found more than 10 years, the symptoms aggravated with palpitations, chest tightness 5 days admitted. Physical examination: Bp25.3 / 16, lungs without rales, heart slightly to the left to expand, irregular, no noise. Blood sugar, blood lipids normal. Ocular fundus level atherosclerosis.Cardiac heart showed aortic type, aortic tortuous broadening, left heart (?) Slightly extended. Clinical diagnosis: hypertensive disease stage Ⅰ, hypertensive heart disease. Ventricular electrocardiogram showed sinus rhythm, heart rate about 60 beats / min, P-R0.20s, QRS duration 0.08s, (?) Plane QRS axis -13 °, R v5 + S v1 = 7.2mv, I avL, V_4, V_6, S-T segment horizontal type down 0.1 ~ 0.15mv, Q-T interval 0.56s (normal maximum 0.44s) .V_12, V_52, I3-7, avR_2-26 P ’advance (AVR lead two consecutive tracing) overlap in the front of the T wave, followed by the QRS was complete left bundle branch block, QRS duration 0.14s, P’-R about 0.18s, svR-26 and I 3-7 wave group RR (PP) is not very regular, the frequency of about 79 beats / min, compensated after avR26 ECG diagnosis: sinus rhythm, frequent atrial contraction, short atrial tachycardia and 3-phase Left bundle branch