变率性传导阻滞30例临床分析.pdfVIP

医技杂志2007年11月第14卷第31期(旬刊) JPM…T Nov 2 ! o1． ． (! !塑 盟 ·4251· 变率性传导阻滞3O例临床分析 杜睿儒 ，田志亮 ，董力峰 ，杜 强 (1．运城逢春医院，山西运城O44000；2．运城逢春心脑血管病研究所，山西运城044000) [摘 要]目的：分析变率性传导阻滞的临床特征。方法：回顾性分析30例变率性传导阻滞患者的临床特征。结 果：30例患者中50岁以下的11例占36．7％，50岁以上19例占63．3％；有心脏病证据29例占96．7％。单纯3相性传 导阻滞的患者，原发病均较轻，预后好，4相性传导阻滞合并Ⅱ。房室传导阻滞(1I。AVB)原发病较重，预后差；心电图， 动态心电图(Holter)，食道心房调搏及心内电生理检查是诊断变率性传导阻滞的主要手段。结论：变率性传导阻滞多 见于年龄大的心脏病患者，是病变较永久性传导阻滞轻的一种阻滞，预后随原发病轻重而异。 [关键词]变率性传导阻滞；发病机制；临床特征 [中图分类号]11541．7 6 [文献标识码]A [文章编号]1671-5098(2007)31-4251-02 Clinical Analysis of 30 Cases witll Conduction Block Caused by Frequency Conversion DU Rui—ru。’，TIAN Zhi—liang ，DONG Li—feng ，DU Qiang ， (J．Fengchun Hospital of Yurwheng，Yuncheng，Shanxi 044000，China； 2．Fengchun Cordis and Cerebral Vessel Disease Institute ofYurwheng，Yurwheng，Shanxi 044000，China) Abstract：ObjoctiveThegoal：the analysis heart rate dependence conduction hinders characteristic．Methods The review analysis 30 examples heart rates dependence conduction hinders patient’S clinical characteristic．Results 30 examples pa— tients blow 50 years old 11 examples account for 36．7％ ．above 50 years old 19 examples acount for 63．3％ ；has the heart dis— ease evidence 29 examples to occupy 96．7％ ；1 exam ple to account for 3．3％ without the heart disease；the pure 3 natural conduction hinders the patient，originally ariseslightly，after pre—is goood．4 natural conduction hinders and 1I。the auriculo— ventricular conduction hinders(Ⅱ。AVB)，originally to arise are havier，after pre—misses；theelectrocardiogram，dynamic e— lectrocardiogram(holter)，the esophagusatrium accent wrestles and in the heart electricity physiology inspection diagnoses the main method which the heart rate denpendenceconductionhinders．Conclusion The heart rate denpendence conduct