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关于心房纤颤合并房室传导阻滞诊断标准的意见
引用本文:高兴玉,向江. 关于心房纤颤合并房室传导阻滞诊断标准的意见[J]. 川北医学院学报, 1995, 0(4)
作者姓名:高兴玉  向江
作者单位:川北医学院附院心内科
摘    要:
本文报导22例风心病并发房颤的患者,在使用洋地黄过程中,常规心电图均出现二度或三度房室传导阻滞,在用Holter24小时动态心电监测下,继续任用详地黄,未见房室传导阻滞加重现象,表明常规心电图诊断,房颤合并房室传导阻滞的方法和标准均存在问题,因此,我们建议,在诊断房颤合并房室传导阻滞时,不能用电复律的情况下,使用Holter24小时动态心电监测,并提出不成熟的标准。

关 键 词:心房纤颤,传导阻滞,洋地黄,动态心电图,标准

SUGGESTION FOR DIAGNOSTIC STANDARD OF AF WITH AVB
Gao Xingyu et al. SUGGESTION FOR DIAGNOSTIC STANDARD OF AF WITH AVB[J]. Journal of North Sichuan Medical College, 1995, 0(4)
Authors:Gao Xingyu et al
Affiliation:Gao Xingyu et al Department of Internal Medicine
Abstract:
This article reports 22 cases of rheamatic heart diseases(RHD) with atrial fibrillation (AF).All of these cases have Ⅱ°AV block(Ⅱ°AVB)in routine electrocardiogram in theprocess of using digitalis。 When we continue to use digitalis under 24 hours ambalatory mon-itoring We didn’t find the degree of block becomes severe. The result shows that the waysand standards of diagnosing AF with AVB have some problems. We suggested that the 24hours ambulatory electrocardiography should be used for those who have AF with AVB butcan not defibrillate. Therefore the authors proposed their unmatured diagnostic standard.
Keywords:Atrial fibrillation Block Digitalis Ambulatory electrocardiography Di-agnostic standard
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