体表窦房结电图在心律失常中的诊断价值  

VALUE OF THE BODY SURFACE SINUS NODE ELECTROGRAM IN THE DIAGNOSIS OF THE CARDIAC ARRHYTHMIAS

作　　者：籍振国[1] 郝哲[1] 陈文一 齐景岩[1] 李力 

机构地区：[1]石家庄市第三医院内科,050011

出　　处：《现代电生理学杂志》1996年第3期127-129,155,共4页Journal of Modern Electrophysiology

摘　　要：本文研究了1806例受检者的体表窦房结电图检查结果,常规心电图均诊断为窦性心津。其中正常人861例,各类心脏病患者945例。根据有无表示窦房结活动的特征性“P前波”,正常人中存在窦性心律(包括窦性心律、窦房及窦房结内游走心律)者828例,房性自主心律33例(占3.8％)。各类心脏病患者存在窦性心律者852例,房性自主心律93例(占9.8％)。正常人的窦房传导时间男女分别为44.73±15.36及43.32±13.45毫秒(P>0.05)。本研究说明,少数正常人确实存在房性自主心律,与迷走神经张力过高有关;心脏病患者出现持续性房性心律与其窦房结起搏功能受损有关。1806 cases were studied by the body surface sinus node electrogram (SNEs) and electrocardiogram (ECG).All cases were sinus rhythm in ECG.861 cases were normal persons and 33 persons (3.8%) were atrial rhythm.852 cases were patients and 93 patients (9.8%) were atrial rhythm.The sinus-atrial conduction time is 44.73+15.36ms in normal male and 43,32+13.45ms in normal female (P>0.05).The atrial rhythm in normal persons are related to the high excitement of the vagus nerve.The atrial rhythm in patients are related to the damage of the sinus node pacing function.

关 键 词：窦房结电图 心律失常 

分 类 号：R541.7[医药卫生—心血管疾病]