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室早二联伴早搏折返径路中文氏现象,较为罕见,最近我们遇到1例报告如下. 临床资料男患,14岁.因发作性心悸半年,加剧一周入院,入院查体双肺正常,心率90次/分,心律不齐,早搏频繁,心尖部可闻及Ⅱ级收缩期吹风样杂音,其余各瓣膜听诊区未闻及杂音.胸部平片心肺正常,心电图描记见附图。入院拟诊心肌炎后遗症,用极化液,慢心律治疗一周,早搏消失出院。心电图分析附图上、中、下三行分别为Ⅰ、Ⅲ、aVR、aVL导联同次记录,各导联中均见窦性P波,P-P间距0.60～0.80秒,窦性心律不齐,心率约85次/分。同时各导联均见期前出现的QRS波群,QRS(?)波宽
Room early two together with premature beat reentry path Chinese phenomenon, more rare, recently we encountered a case report as follows.Material information Male patients, aged 14 due to episodes of palpitations for six months, exacerbated a week hospitalization, admission physical examination of both lungs, heart rate 90 times / min, arrhythmia, frequent premature beats, apex can be heard and grade Ⅱ systolic hair-like murmur, the rest of the valve auscultation area did not smell and murmur.Cardiopulmonary cardiopulmonary normal electrocardiogram tracing see the accompanying drawings. Admitted to the proposed diagnosis of myocarditis sequelae, with a polarizing fluid, slow heart rhythm treatment for a week, premature discharge disappeared. Electrocardiogram analysis, the middle and lower three lines were Ⅰ, Ⅲ, aVR, aVL lead with the same record, all leads were seen sinus P wave, PP spacing 0.60 ~ 0.80 seconds, sinus arrhythmia, Heart rate about 85 beats / min. At the same time, each lead appeared before the period of QRS complex, QRS (?) Wave width