| 无人区电轴对心房颤动伴宽QRS波群的临床价值 |
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| 引用本文： | 黄璐璐,吴子平,吴佳逢.无人区电轴对心房颤动伴宽QRS波群的临床价值[J].海南医学,2009,20(5):138-139. |
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| 作者姓名： | 黄璐璐 吴子平 吴佳逢 |
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| 作者单位： | 广东省深圳市人民医院,暨南大学第二临床医学院,广东,深圳,518020 |
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| 摘 要： | 目的 探讨无人区电轴对心房颤动伴宽QRS波群的临床意义。方法对113例心房颤动伴宽QRS波群心电图患者，用常用方法鉴别诊断为心房颤动伴室早、室速或心房颤动伴室内差异传导。经心电图，Ⅰ、avF导联目测心电轴。结果113例患者中52例为心房颤动伴室早或室速，其中17例心电轴位于元人区，61例为心房颤动伴室内差异传导，且无一例心电轴位于无人区。无人区电轴诊断心房颤动伴室早或室速的特异性达100％，敏感性32．69％。结论无人区电轴可作为心房颤动伴室早、室速或室内差异传导诊断及鉴别诊断的重要指标，特异性很高，但敏感性较低。
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| 关 键 词： | 无人区电轴 心房颤动 宽QRS波群 |
Value of the electrocardiogram of "No Man's Land" in atrial fibrillation complicated with wide QRS wave |
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| HUANG Lu-lu,WU Zi-ping,WU Jia-feng.Value of the electrocardiogram of "No Man's Land" in atrial fibrillation complicated with wide QRS wave[J].Hainan Medical Journal,2009,20(5):138-139. |
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| Authors: | HUANG Lu-lu WU Zi-ping WU Jia-feng |
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| Institution: | the Second Affiliated Hospital of Medical College of Jinan University |
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| Abstract: | Objective To explore clinical significance of axis of ＂no man＇ s land＂ for patients with atrial fibrillation（AF）eomplicated with wide QRS. Methods 113 patients with AF complicated with wide QRS wave were included in tiffs study. Twelve - lead electrocardiogram （ECG） or dynamic ECG were available in all patients, and measured lead I ,aVF QRS electric axis visually. Results There were 52 patients with ventricular premature heats or ventrieular tachyeardia, 17 patients with axis of ＂no man＇ s land＂ among them. There were 61 patients with aberration, no one was axis of ＂no man＇ s land＂ among them. The sensitivity and specificity of the axis in ＂no man＇ s land＂ was 32.69% and 100%, respectively. Conclusion The axis of ＂no man＇ s land＂ can be an important index in the differential diagnosis of vcntrieular arhythmia and aberration for wide QRS in the patients with atrial fibrillation. |
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| Keywords: | Axis of "no man's land" Atrial fibrillation Wide QRS wave |
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