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预激综合征(Wpw Wolff—Parkinson—Whlte)并发快速房颤在临床中是较难处理WPW并发房颤以“A”型较多相符.WPW并发房颤容易发生漏诊而误诊为其它疾病,本文19例中就有11例在乡镇医院被误诊,误诊率达58%.发生误诊的原因主要有下列几个方面:(l)临床医生对WPW并发房颤认识不足.文献报道WPW在人群中的发生率为0.5～2%,其中11.5～39%并发心房颤动在急诊中,遇到快速心律失常时考虑常见病多,如普通的房颤等,而忽略了与此房的鉴别诊断,其心电图表现易和室性心律失常相混淆.(2)详细询问病史不够.中青年患者有反复快速心律失常发作史,常可提示本病.(3)未常规做心电图检查.医生仅凭听诊进行诊断和治疗,这是导致误诊的重要原因之一.心电图对一部分患者可明确诊断,但在房颤发作而心室率又极快时,心电图的鉴别断也
Wpw Wolff-Parkinson-Whlte complicated with rapid atrial fibrillation in the clinical is more difficult to deal with WPW complicated by atrial fibrillation with “A” type more consistent .While PWW complicated with atrial fibrillation is misdiagnosed as misdiagnosis of other diseases, this article 11 of the 19 cases were misdiagnosed in township hospitals and the misdiagnosis rate was 58% .The reasons for the misdiagnosis mainly include the following aspects: (1) Clinicians do not know enough about WPW complicated with atrial fibrillation.Relevances of WPW in the crowd The incidence of 0.5 to 2%, of which 11.5 to 39% of patients with concurrent atrial fibrillation in the emergency, when encountered in patients with tachyarrhythmia, such as common atrial fibrillation, while ignoring the differential diagnosis with this room, the ECG Performance and easy to be confused with ventricular arrhythmias. (2) detailed history of the disease is not enough. Young patients with recurrent tachyarrhythmia episodes, can often prompt the disease. (3) did not do routine ECG. Treatment, which is one of the important reasons leading to misdiagnosis.Electrocardiogram can be diagnosed in some patients, but in the atrial fibrillation attack and the ventricular rate is very fast, the identification of ECG is also broken