【摘要】 目的分析探讨完全性预激综合征的心电图的特征和鉴别诊断及治疗。方法分析40例具有完全性预激图形的心电图特点及QRS表现。结果 25例伴发房颤,其中8例合并器质性心脏病患者,分别使用普罗帕酮或胺碘酮及电复律治疗转复为窦性心律;2例房扑均发生在房颤终止治疗的过程中。伴发逆向型房室折返性心动过速5例。40例中窦性心律表现为完全性预激10例,其中合并一度房室传导阻滞2例,二度房室传导阻滞2例,三度房室传导阻滞5例,完全性双束支阻滞1例,植入起搏器7例。结论完全性预激综合征合并房颤者均表现为完全预激图形、典型预激图形及正常QRS波的不同组合。合并房室正常通路一度及三度房室传导阻滞者,全部为完全性预激图形。更多还原

【Abstract】 Objective To analyze and discuss ECG feature and differential diagnosis and treatment of complete pre-excitation syndrome.Methods Electrocardiogram characteristics and QRS morphologies of 40 patients with complete pre-excitation syndrome were analyzed.Results Twenty five cases with atrial fibrillation(AF),8 of which were accompanied by organic heart disease,sinus rhythm was corrected by using propafenone or amiodarone administration and direct electrical cardioversion treatment respectively;2 cases with atrial flutter occurred in the AF termination,5 cases with reverse type atrioventricular reentrant tachycardia.10 cases with complete pre-excitation syndrome during sinus rhythm,2 of which with one degree atrioventricular block,2 cases with two degree atrioventricular block,5 cases with three degree atrioventricular block,one with complete double bundle branch block,pacemaker implantation was performed in 7.Conclusion Complete pre-excitation syndrome morphologies,typical pre-excitation syndrome and various combinations of normal QRS waves were present when AF occurred.Complete pre-excitation syndrome was present when one degree or three degree atrioventricular block occurred in the normal atrioventricular pathway.更多还原