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患者,女性,86岁。诊断:肺心病,心衰,心功能Ⅲ级。持续服用地高辛0.25mgl/日已二周。心电图分析:各导联未见p波,代之以“f”波QRS波群宽<0.12ses,呈两种形态;一种QRS波群主波向上,Ⅱ、Ⅲ、avF导联呈R型,其T波倒置,电轴为+112°;另一种QRS波群主波向下,在Ⅱ、皿、avF导联呈rs型,其T波直立。电轴为-90°,此两种QRS波群交替出现,R-R基本匀齐,频率为160次/分,V_1呈rsR或R型。诊断:①心房颤动,②完全性房室分离,③双向性心动过速,④不完全
Patient, female, 86 years old. Diagnosis: pulmonary heart disease, heart failure, heart function Ⅲ grade. Continued taking digoxin 0.25mgl / day for two weeks. ECG analysis: each lead no p wave, replaced by “f” wave QRS wave group width <0.12ses, was two forms; a QRS wave of the main wave upward, Ⅱ, Ⅲ, avF lead was R type , The T wave inversion, the electrical axis is +1212 °; the other QRS wave group down the main wave in Ⅱ, dish, avF lead was rs type, its T wave upright. The electric axis is -90 °. The two QRS wave groups appear alternately. The R-Rs are basically uniform and the frequency is 160 beats / min. V_1 is rsR or R-type. Diagnosis: ① atrial fibrillation, ② complete atrioventricular separation, ③ bidirectional tachycardia, ④ incomplete