|本期目录/Table of Contents|

[1]郭华,闵煜榕,汤沂,等.心脏束室旁道2例报告及文献复习[J].医学研究与战创伤救治(原医学研究生学报),2022,24(5):534-536.[doi:10.3969/j.issn.1672-271X.2022.05.019]
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心脏束室旁道2例报告及文献复习()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第24卷
期数:
2022年5期
页码:
534-536
栏目:
出版日期:
2022-11-02

文章信息/Info

Title:
-
作者:
郭华; 闵煜榕; 汤沂; 王磊
作者单位：210002南京，东部战区总医院（原南京军区南京总医院）干部心内科（郭华），心内科（闵煜榕、汤沂、王磊）
Author(s):
-
关键词:
束室旁道; 预激综合征; 射频消融术
Keywords:
-
分类号:
R541.7
DOI:
10.3969/j.issn.1672-271X.2022.05.019
文献标志码:
B
摘要:
目的探讨心脏束室旁道患者的临床特点、心电图特征、腔内电生理诊断及治疗。方法报道2例心脏束室旁道并复习相关文献。结果2例患者均显现出典型束室旁道特点，心电图主要表现为PR间期正常或轻度延长、有轻度预激波、QRS宽度多在正常范围。腔内电生理特征表现为旁道仅有前传功能，伴递减性传导，心房递增起搏时，AH间期逐渐延长，而HV间期始终不变，但较正常的HV间期短，且体表心电图QRS波形也不变。同时给予心房、心室超速和程序刺激均未诱发心动过速，静滴异丙肾上腺素没有诱发心律失常，未行射频消融术。结论心脏束室旁道具有特征性的腔内电生理特点，大多不参与心动过速，应避免消融，减少希浦系统损伤的几率。通过体表心电图很难与其他旁道相鉴别，虽然静脉推注三磷酸腺苷（ATP）是有效的无创方法，但仍有漏诊、误诊的可能。
Abstract:
-

参考文献/References:

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更新日期/Last Update: 2022-11-16