心律失常2__培训课件.pptVIP

Company Logo 房室传导阻滞 ⅡⅠ房室传导阻滞心电图特点： 1.心房率不受影响，心房律规则；心室律不规则，室率少于房率； 2.QRS波正常； 3.P-R间期进行性延长终至脱漏，以后周而复始； 4.脱落前后的P-R间期2倍前周期。 Company Logo Ⅱ度Ⅱ型房室传导阻滞 Ⅱ度Ⅱ型房室传导阻滞心电图诊断要点： 1.带有多于一个的连续脱漏，而脱漏前的P-R间期可不延长或略有延长，但保持固定； 2.通常一侧束支完全阻滞而对侧呈间断性传导中断，QRS波增宽，若阻滞部位在希氏束，QRS波正常。 Company Logo Company Logo 房室传导阻滞心电图诊断要点 1.P波与QRS波完全无关，P波可出现在心动周期的任何时间内，故P-R间期长短不等。 2.若出现在窦房结，交界飘逸搏起搏点将启动心室除极，频率约40-60次/分，QRS波形正常； 3.发生在结下水平，频率低于40次/分，QRS波形增宽，形态变异，可出现室性停搏。 Company Logo 治 疗 1.室率不慢，不需治疗； 2.室率过慢或伴有血流动力学障碍，应积极这里，静注阿托品或异丙肾上腺素，必要时心脏起搏。 Company Logo （七）电解质紊乱引起的心律失常 血钙 血钾 Company Logo 第三节 围术期心律失常的治疗 治疗特点：要迅速正确地作出诊断，了解并消除引起心律失常的病因和诱因，选择适当的抗心律失常的方法。 Company Logo 治疗原则 1.严重（或恶性）心律失常必须立即处理、甚至要紧急处理。 2.当心律失常伴有血流动力学明显影响时，应积极治疗，在治疗同时分析病因或诱因，设法消除诱因。 3.若心律失常时血流动力学尚能维持相对稳定，应分析引起心律失常的病因和诱因，然后或同时进行适当的治疗。 Company Logo Company Logo Diagram ThemeGallery is a Design Digital Content Contents mall developed by Guild Design Inc. Title Add your text ThemeGallery is a Design Digital Content Contents mall developed by Guild Design Inc. Company Logo Cycle Diagram Text Text Text Text Text Cycle name Add Your Text Company Logo Diagram Title ThemeGallery is a Design Digital Content Contents mall developed by Guild Design Inc. Title ThemeGallery is a Design Digital Content Contents mall developed by Guild Design Inc. Title ThemeGallery is a Design Digital Content Contents mall developed by Guild Design Inc. Company Logo Diagram Add Your Text Add Your Text Add Your Text Add Your Text Company Logo Diagram Add your text Add your text Add your text Add your text Add your text Your Slogan here Company Logo Diagram Title Add your text Title Add your text Title Add your text Title Add your text Company Logo Diagram Concept Add Your Text Text Text Text Text Text Text Company Logo Diagram Add Your Text Add Your Text Add Your Text Add Your Text Add Your Text Add Your Text Add Your Text Add Your Text Company Logo Diagram Add Your Text Add Your Text Add Your Text Add Your Title Company Logo Diagram Add Your Text Add Your Text Add Your Tex