my常规心电图简介2 课件.pptVIP

（七）心律失常及心电现象;心律失常的分类 ;心律失常;窦性心律 sinus rhythmia;窦性心动过速 sinus tachycardia;窦房折返型心动过速（SART）;窦性心动过缓 sinus bradycardia;窦性心律不齐 sinus arrhythmia;窦性静止 sinus arrest;窦房结功能不全/障碍;过早搏动 premature beat;过早搏动 premature beat;房性早搏 （期前收缩）atrial premature beat;房性早搏未下传;房性早搏伴室内差异传导;异位心房节律;心动过速;室上性心动过速;非阵发性心动过速nonparoxysmal tachycardia;异位房性心动过速;异位房性心动过速;交界性心动过速;室上性心动过速supraventricular tachycardia, SVT;心电图特征 1. QRS波通常无增宽变形； 2. 心室率为150～240次/min，绝对匀齐； 阵发性室上性心动过速不一定具有器质性心脏疾患，但常有反复发作趋势。;扑动与颤动flutter and fibrillation;心房扑动 atrial flutter;心房扑动 atrial flutter;心房扑动 atrial flutter;心房颤动 atrial fibrillation;心房颤动 atrial fibrillation;交界性心律 atrial ventricular junctional rhythm;交界性心律 atrial ventricular junctional rhythm;交界性早搏 junctional premature beat;交界性早搏与房性早搏 junctional atrial premature beat;交界区异位心律;加速交界性心律;交界性心动过速;室性早搏 ventricular premature beat;偶发单源性室性早搏 occasional unifocal ventricular premature beat;多源性频发室性早搏 frequent multifocal ventricular premature beat;室性心动过速 a brief episode of ventricular tachycardia（连续三次及以上早搏，持续时间≤30S称非持续性/短阵室速，＞30S称持续性室速）;室性心动过速ventricular tachycardia, VT;室性心动过速 ventricular tachycardia, VT;尖端扭转型室性心动过速torsive ventricular tachycardia;心室扑动 ventricular flutter;心室扑动 ventricular flutter;心室颤动 ventricular fibrillation;逸搏与逸搏心律escape and escape rhythms;① 房性逸搏 atrial escape;③ 室性逸搏 ventricular escape; 将室性逸搏与室性早搏进行比较，可以看出，室性逸搏的QRS波形态与室性早搏的QRS波相似，其差别在于室性早搏的QRS波提前出现，而室性逸搏的QRS波在一个较长的间歇后(至少大于一个窦性心动周期)出现。;逸搏连续3个及以上者称逸搏心律;心脏传导异常所致的心律失常arrhythmias involving abnormal cardiac conduction;传导阻滞分类;窦房传导阻滞;房内传导阻滞;房内传导阻滞;Ⅰ度房室传导阻滞 first degree A-V block;Ⅰ度房室传导阻滞 first degree A-V block;Ⅱ度房室传导阻滞 second degree A-V block;Ⅱ度房室传导阻滞 second degree A-V block;Ⅲ度房室传导阻滞 third degree A-V block;Ⅲ度房室传导阻滞 third degree A-V block;右束支传导阻滞right bundle branch block, RBBB;右束支传导阻滞right bundle branch block, RBBB;右束支传导阻滞right bundle branch block, RBBB;右束支传导阻滞right bundle branch block, RBBB; 左束支传导阻滞left bundle branch block, LBBB; 左束支传导阻滞left bundle branch block, LBBB;左束支传