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目的探讨房室交界性逸搏心律伴束支及分支内文氏现象的心电图表现、诊断的可行性及临床意义。方法对7例房室交界性逸搏心律伴束支及分支内文氏现象的常规心电图进行回顾性分析。结果患者的心电图特征包括:①窦性心律、心房颤动时伴完全性/高度房室或窦房阻滞;②心室节律是起源于房室交界区的逸搏心律,节律匀齐;③逸搏的QRS波周期性出现正常形态,之后继以束支阻滞逐渐加重的图形。结论束支及分支内文氏现象是少见的心电现象,可以通过体表心电图做出诊断,其临床预后较差,需积极采取诊治措施。
Objective To investigate the electrocardiogram (ECG) manifestations, diagnostic feasibility and clinical significance of atrioventricular junctional esophageal arrhythmias with branches and branches. Methods Retrospective analysis was performed on routine electrocardiogram (ECG) of 7 patients with borderline airesophageal arrhythmias with branches and branches. Results The ECG characteristics of patients included: ① sinus rhythm, atrial fibrillation with complete / height atrioventricular or sinoatrial block; ② ventricular rhythm is originated in the atrioventricular junction area esophageal rhythm, uniform rhythm; ③ escape QRS wave periodically appears normal form, followed by a gradual increase in bundle branch block graphics. Conclusions The bundle branch and branch inner Wen’s phenomenon is a rare electrocardiogram phenomenon, which can be diagnosed by body surface electrocardiogram. The clinical prognosis is poor, and the diagnosis and treatment measures should be actively taken.