判读“辅查”结果,请结合临床

发布时间：2018-03-31 14:12

本文选题：二联律　切入点：发作性心悸　出处：《中华高血压杂志》2017年02期

【摘要】：正论到判读“辅助检查”(“辅查”)结果,请结合临床,我们先来看1个病例。46岁,女性,反复发作性心悸10年,伴频繁发作1周入院,门诊两份心电图分别提示“阵发性室上性心动过速”与“频发室上性早搏二联律”,只是早搏形态与室上性心动过速形态极度相似,图发到微信群里,引来各样的诊断,科室医生问我的意见,我说:“结合患者心悸发作无规律性,持续时间为瞬间到数秒钟不等的非持续性临床特征,加上心电图见频发二联律早搏之QRS形态与心动过速发作的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."
【作者单位】：宁波市第二医院心内科;

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