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一度合并二度Ⅰ型房室传导阻滞伴跨越传导1例——P波跨越QRS-P波传导

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摘要 一、临床资料 患者,男,38岁,10余年前因"感冒"就医发现心脏杂音,诊断"风湿性心脏病",未予重视,5年前开始出现劳力性心前压不适、心悸,休息可缓解。6月前出现双下肢水肿,自觉心跳时快时慢,伴乏力,偶有头昏,黑朦。于2009年2月4日入院。入院前未服过洋地黄类等影响心率及传导的药物。入院时查体:T:36℃,P:54次/min,R:20次/min,BP:130/64 mm Hg。心界向左下扩大,心率54次/min,律齐,心尖区及主动脉瓣听诊区均可闻及双期杂音。
出处 《中华心脏与心律电子杂志》 2017年第3期189-190,共2页 Chinese Journal of Heart and Heart Rhythm(Electronic Edition)
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