论文部分内容阅读
间歇性后结间束单向前向阻滞伴房室传导的裂隙现象临床罕见,现将我们所见1例报告如下.女,58岁.反复咳喘10余年,心慌、心悸、气促、足肿1月入院.体检:唇绀,颈静脉充盈,桶胸,双肺散在湿啰音.心率138次/分,律齐,心尖区闻及Ⅲ级收缩期吹风样杂音.肝肋下4cm,质中,肝颈静脉回流征(+).双下肢Ⅱ度水肿.超声心动图:右房56mm,右室35mm,左房25mm,左室收缩末27mm.舒张末32mm.胸片:慢性支气管炎伴感染,肺气肿,肺心病.血气:pH7.311,PCO_2 7.9kPa,PO_2 9.2kPa,BE—6.3mmol/L,HCO_3~- 22.3mmol/L,SBC19.7mmol/L,So_2 88.0/dl.临床诊断:慢性支气管炎急性发作,肺气肿,肺心病,呼吸衰竭,心功能Ⅲ级.心电图分析 附图为1989年7月26日记录,
Intermittent posterior intercostal bundle unidirectional forward block with atrioventricular fissure phenomenon clinically rare, now we see a report as follows. Female, 58 years old. Repeated cough and asthma more than 10 years, palpitation, heart palpitations, shortness of breath, Foot swelling admitted to hospital in January Physical examination: Cyanosis, jugular vein filling, barrel chest, lungs scattered in the wet rales Heart rate 138 beats / min, law Qi, apex area smell and grade Ⅲ systolic hair-like murmurs Liver ribs 4cm , Quality, and hepatic jugular vein reflux syndrome (+) .Each lower limbs Ⅱ degree edema .Echocardiography: right atrium 56mm, right ventricular 35mm, left atrium 25mm, left ventricular end systolic end 27mm. Inflammatory reaction, emphysema and pulmonary heart disease.Gas: pH7.311, PCO_2 7.9kPa, PO_2 9.2kPa, BE-6.3mmol / L, HCO_3 ~ -22.3mmol / L, SBC19.7mmol / L, So_2 88.0 / dl Clinical diagnosis: acute exacerbation of chronic bronchitis, emphysema, pulmonary heart disease, respiratory failure, cardiac function grade 3. ECG analysis The figure for the July 26, 1989 record,