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1 病例报告 患者男,61岁,临床诊断:左肱骨中段骨折。既往有高血压病史。查体:体温36.5℃,血压150/100mmHg,心率65/min,呼吸16/min,意识清楚,双肺呼吸音清,心界扩大,心律齐,各瓣膜听诊区未闻及杂音。于外伤后约3h心电图检查示:(1)窦性心动过缓,间歇性左束支传导沮滞;(2)无束支阻滞时,QRS:V_(1-2)呈QS型,V_(1-6)R波移行区消失,ST段V_(1-3)弓背抬高0.3mv,T_(v1-v4)倒置呈冠状T,左心室肥厚。左束支传
A case report Male patient, 61 years old, clinical diagnosis: fracture of the middle of the left humerus. Past history of hypertension. Physical examination: body temperature 36.5 ℃, blood pressure 150 / 100mmHg, heart rate 65 / min, breathing 16 / min, conscious, lung breath sounds clear, heart expansion, rhythm Qi, the valve auscultation area did not smell and noise. About 3 h after trauma, ECG showed: (1) sinus bradycardia, intermittent left bundle branch conduction delay; (2) without bundle branch block, QRS: V_ (1-2) was QS type, V_ (1-6) R-wave migration disappeared, ST segment V_ (1-3) dorsal raised 0.3mv, T_ (v1-v4) inverted coronary T, left ventricular hypertrophy. Left beam branch pass