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目的探讨房室传导不典型文氏现象的心电图特点及临床意义。方法回顾性分析9例(其中男6例,女3例,年龄19～81岁)房室传导不典型文氏现象的临床资料。结果9例房室传导不典型文氏现象病例中,1例为单纯房室阻滞,1例交替性文氏传导,2例非交替性文氏传导,5例房室结双径路。其中4例为病理性阻滞伴严重器质性心脏病,其他为迷走高敏所致生理性阻滞。结论年轻患者不典型文氏型房室阻滞者以迷走高敏所致功能性阻滞多见,有器质性心脏病者发生不典型文氏现象时,心电图表现复杂并常与其他心律失常共存。
Objective To explore the characteristics and clinical significance of electrocardiogram (ECG) of ventricular conduction atypical ventricular arrhythmia. Methods The clinical data of 9 cases (including 6 males and 3 females, aged 19-81 years) were analyzed retrospectively. Results Among the 9 cases of atrioventricular atypical Venn, 9 cases had a simple block of atrioventricular block, 1 case of Alternating Ventricle conduction, 2 cases of non-Alternate Ventricle conduction and 5 cases of atrioventricular node dual pathways. 4 cases of pathological blockage with severe organic heart disease, the other caused by vagal hypersensitivity caused by physiological block. Conclusions The young patients with atypical Ventricular Atrioventricular block are more likely to have functional block due to vagal hypersensitivity. When atypical ventricular arrhythmia occurs in those with organic heart disease, the electrocardiogram is complicated and often coexists with other arrhythmias .