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临床心电学沿着Einthoven氏三角——Wilson氏导联——偶极心电位场的轴线发生发展巳有百年,成为目前临床应用最广的仪检技术之一。与此同时,该轴线的固有弱点亦暴露得比较明确,如理论缺陷、波幅略偏低、图形多变、标准浮动和方位死角等,迄今在实践上对右室电活动表达不清,在理论上各种假说都规定右胸为负端,无法分辨正常的负波(深Q波、QS波等)和病理性负波。要解决这一系列问题,有两个可行的突破口:1.寻找新导联系统,扩展观察视野;2.提出新假说,统一解释新旧心电现象。 1980年我们正式提出头胸(HC)导联与球状面心电位场波阵而传递假说。头胸导联以右前额为参比点,并置地电极,选胸背腰腹或其他部位作测试点,一般选在V导联各点。
Clinical electrocardiography along the axis of Einthoven’s triangle - Wilson’s lead - dipole potential field has been developed for a century, becoming one of the most widely used clinical testing techniques. At the same time, inherent weaknesses of the axis are also exposed more clearly, such as theoretical defects, slightly lower amplitude, changing graphics, standard float and azimuth angle, so far in practice, right ventricular electrical activity is not clear, in theory On the various hypotheses are provided for the right chest is negative, unable to distinguish the normal negative (deep Q wave, QS wave, etc.) and pathological negative. To solve this series of problems, there are two feasible breakthroughs: 1. To find a new lead system to expand the scope of observation; 2. To propose a new hypothesis, a unified interpretation of the phenomenon of old and new ECG. In 1980, we formally proposed hypothesis that the head-chest (HC) lead and the spherical face potential field wave array transmit. Head and lead to the right forehead as a reference point, and set the electrode, the election of chest or back waist or other parts of the test point, the general election in the V lead points.