常见异常心电托录.ppt

Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;第三节 常见异常心电图;右心房肥大;左心房肥大;双心房肥大;左心室肥大;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;右心室肥大;;双侧心室肥大;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;缺血型心电图改变 ;T波变化;T波高大直立;T波倒置;T波低平双向;ST段改变;临床意义 ;;心肌梗死基本图形;损伤区：ST段弓背向上抬高 坏死区：宽而深的Q波 缺血区：T波倒置 ;心肌梗死的图形演变及分期;超急性期;急性期;亚急性期;陈旧期;;特征性改变 动态演变 定位;心肌梗死的定位诊断;急性下壁心梗心电图;心律失常;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.; ;窦性心律失常;窦性心动过速;窦性心动过缓;窦性停搏 sinus pause （sinus arrest）;ECG主要表现： 1、持续而显著的窦缓，非药物引起，阿托品不易纠正 2、窦性停搏（2秒） 3、窦房传导阻滞，房室传导阻滞（双结病变） 4、慢-快综合征;期前收缩 premature beats;;房性期前收缩;期前收缩 premature beats;室性期前收缩;期前收缩 premature beats;严重的室性早搏;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;室早成三联律;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;期前收缩 premature beats;阵发性心动过速 （paroxysmal tachycardia） ;临床表现 ;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;临床表现 症状取决于发作时的心率及持续时间 大多有心悸、胸闷、乏力、心绞痛等症状 无器质性心脏病的年轻人（20-40岁）多见，一般不引起严重后果 突发突止，持续数秒、数小时、甚至数日不等 听诊心率快而规则，心尖部S1强度一致 心率150～250次/分;心电图特点 心室率一般为140～220次/分，心律可稍不规则 三个或三个以上连续而迅速出现的室早 QRS波宽大畸形，时限≥0.12S，有继发ST-T改变， T波与QRS波群主波方向相反 常无P波，如有P波与QRS波无关，形成房室分离 常可见到心室夺获或室性融合波，是确诊室速最重要依据;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile