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急性前壁心梗合并双侧束支Ⅱ度传导阻滞较常见,但急性下壁心梗合并双侧束支Ⅱ度传导阻滞极为罕见,国内尚未见报导,我院遇到一例现报导如下。 患者男性,52岁,病历号:3680,因心前区压榨样疼痛伴大汗18小时于1992年3月10日入院。既往有高血压病病史13年,入院查体:BP:18/13KP,急性病容,双肺未闻及湿罗音,心界不扩大,心率:70次/分,律齐,各瓣膜未闻及杂音,腹软,肝脾无肿大,双下肢无浮肿,入院当时心电图,Ⅰ导心电轴—23°,QRS波群0.06ms ST_(ⅡⅢcaP)抬高0.05～0.1mv,Ⅲ,avF呈Qr型,Ⅱ呈qR型。ST_(LavL)水平下移0.1mv,血清酶:LDH:1690U/L,CPK 899L/1,AST:
Acute anterior myocardial infarction with bilateral bundle branch degree Ⅱ conduction block is more common, but acute inferior myocardial infarction with bilateral bundle branch degree Ⅱ conduction block is extremely rare, has not been reported in our country, our hospital is now reported as follows . Male patient, 52 years old, medical record number: 3680, due to precordial press-like pain with sweating 18 hours on March 10, 1992 admitted. Previous history of hypertension 13 years, admission examination: BP: 18 / 13KP, acute disease, lungs unheard and wet rales, heart does not expand, heart rate: 70 beats / min, law Qi, the valve is not heard And murmur, abdominal softness, no swelling of liver and spleen, no swelling of both lower extremities, electrocardiogram at admission, electrocardiogram of Ⅰ-lead, -23 ° axis of electrocardiogram, 0.05 ~ 0.1mv of ST_ (IIⅢcaP) Qr type, Ⅱ was qR type. ST_ (LavL) level down 0.1mv, serum enzymes: LDH: 1690U / L, CPK 899L / 1, AST: