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患者男性,76岁,有高血压病史6-7年.近半年来反复胸闷、心悸、胸骨后隐痛.这次已持续5小时,于1984年10月2g日入院.体检.BP170/90,神志清,精神软,颈静脉无怒张,肺底部未闻及湿性罗音,心界不扩大,心率116次/分左右,心律绝对不规则,A_2>P_2,A_2亢进,心脏杂音不明显,肝脾不肿大.心电图(图1)示心房颤动,心室节律显著不齐,QRS图形有两种:一种相对“正常”(呈不完全性左束支传导阻滞型)
Male patient, 76 years old, with a history of hypertension for 6-7 years .There was repeated chest tightness, heart palpitations and sternal pain after half a year. This time lasted for 5 hours and was admitted to hospital on October 2, 1984. Physical examination .BP170 / 90, consciousness Clear, soft spirit, no jugular vein engorgement, unhealthy pulmonary rales at the bottom of the lungs, heart does not expand, heart rate 116 beats / min or so, heart rhythm is absolutely irregular, A_2> P_2, A_2 hyperthyroidism, heart murmur is not obvious, liver Spleen does not enlarge. ECG (Figure 1) shows atrial fibrillation, ventricular rhythm significant irregularity, there are two types of QRS: a relative “normal ” (incomplete left bundle branch block)