發(fā)布時間：2018-03-31 14:12

  本文選題：二聯(lián)律　切入點(diǎn)：發(fā)作性心悸　出處：《中華高血壓雜志》2017年02期

【摘要】：正論到判讀“輔助檢查”(“輔查”)結(jié)果,請結(jié)合臨床,我們先來看1個病例。46歲,女性,反復(fù)發(fā)作性心悸10年,伴頻繁發(fā)作1周入院,門診兩份心電圖分別提示“陣發(fā)性室上性心動過速”與“頻發(fā)室上性早搏二聯(lián)律”,只是早搏形態(tài)與室上性心動過速形態(tài)極度相似,圖發(fā)到微信群里,引來各樣的診斷,科室醫(yī)生問我的意見,我說:“結(jié)合患者心悸發(fā)作無規(guī)律性,持續(xù)時間為瞬間到數(shù)秒鐘不等的非持續(xù)性臨床特征,加上心電圖見頻發(fā)二聯(lián)律早搏之QRS形態(tài)與心動過速發(fā)作的QRS
[Abstract]:In view of the results of the interpretation of "Auxiliary examination" ("Auxiliary examination"), let's first look at a case. 46 years old, female, with recurrent palpitations for 10 years, with frequent episodes for 1 week. Two electrocardiograms showed that "paroxysmal supraventricular tachycardia" and "frequent supraventricular premature beats", but the patterns of premature beats were extremely similar to those of supraventricular tachycardia. The doctor asked me for my opinion, and I said, "combined with the non-persistent clinical characteristics of the patient's palpitation, the duration of which varies from the moment to several seconds, and the electrocardiogram shows the QRS shape of the frequently occurring combined premature beats and the QRS with tachycardia."
【作者單位】： 寧波市第二醫(yī)院心內(nèi)科;

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本文編號：1691080