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鍥犳锛屾簴(zh菙n)纰鸿閷勫拰绮剧⒑鍒嗘瀽蹇冮浕鍦�銆佽(gu墨)鑼冩浉瀵ê鏂风祼(ji茅)璜栬嚦闂�(gu膩n)閲嶈銆�

1銆佹甯稿績闆诲湒鍩烘湰鍙冩暩(sh霉)

(1)蹇呴爤淇濊瓑蹇冮浕鍦栫殑娉㈠舰鍙婂弮鏁�(sh霉)閮芥纰虹劇瑾わ紝鑻ヨ▓绠楁鑷嫊娓噺鍙冩暩(sh霉)鏈夊亸宸�锛屾噳(y墨ng)浜堜互绯炬銆�

(2)绲�(t菕ng)涓€浣跨敤瑷堢畻姗熸脯閲忓柈浣�锛屾檪闁撶偤ms锛屾尟骞呯偤mV銆�

(3)姝ｅ父QRS 蹇冮浕杌稿湪-30°锝�+90°銆�

(4)绔囨€-P闁撴湡浜掑樊<160ms銆�

2銆丵RS蹇冮浕杌稿亸绉�

(1)QRS蹇冮浕杌稿乏鍋忥細-30°锝�-90°锛屸厾QRS 涓绘尝鍚戜笂锛屸參QRS 涓绘尝鍚戜笅銆�

(2)QRS蹇冮浕杌稿彸鍋忥細+90°锝� +180°锛屸厾QRS 涓绘尝鍚戜笅锛屸參QRS涓绘尝鍚戜笂銆�

(3)QRS蹇冮浕杌告サ搴﹀彸鍋忥細+180°锝�+270°(-90°锝�-180°)锛屸厾QRS銆佲參 QRS 涓绘尝鍧囧悜涓�(S鈪�銆丼鈪°€丼鈪㈢従(xi脿n)璞★細鈪�銆佲叀銆佲參 R/S 鍧�<1)銆�

3銆佸績鑷熻綁(zhu菐n)浣�

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(2)闋嗛悩鍚戣綁(zhu菐n)浣嶏細V5锝濾6 R/S鍧�≤1銆�

4銆丵RS 娉㈢兢浣庨浕澹�

(1)鑲㈤珨灏�(d菐o)鑱�(li谩n)锛氬悇鑲㈤珨灏�(d菐o)鑱�(li谩n)QRS闆诲绲曞皪鍊�<0.5mV銆�

(2)鑳稿皫(d菐o)鑱�(li谩n)锛氬悇鑳稿皫(d菐o)鑱�(li谩n) QRS 闆诲绲曞皪鍊�<1.0mV銆�

(3)宸﹁兏灏�(d菐o)鑱�(li谩n)锛歏5銆乂6 QRS 闆诲绲曞皪鍊�<1.0mV銆�

(4)鍏ㄥ皫(d菐o)鑱�(li谩n)锛氱鍚堜笂杩�(1)銆�(2)鍏╂妯�(bi膩o)婧�(zh菙n)銆�

5銆佺煭P-R 闁撴湡

(1)鍙鏈�1鍊嬪皫(d菐o)鑱�(li谩n)鐨� P-R 闁撴湡閬斿埌120ms 灏变笉涓嬫瑷烘柗銆�

(2)P-R 闁撴湡<120ms锛孮RS 褰㈡厠(t脿i)鐣板父锛屾噳(y墨ng)鍒嗗垾瑷烘柗銆備緥锛氱煭P-R 闁撴湡锛屽畬鍏ㄦ€у彸鏉熸敮鍌冲皫(d菐o)闃绘化銆�

6銆丼T娈垫敼璁�

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閫氬父浠P娈典綔鐐哄熀婧�(zh菙n)绶�銆�

蹇冪巼蹇檪锛屽TP娈典笉鏄庨’锛屽墖浠R 娈典綔鐐哄熀婧�(zh菙n)绶氥€�

鑻ュ熀绶氫笉绌�(w臎n)锛孴P娈典笉鏄庨’鏅�锛屽墖浠ュ叐鍊嬬浉閯癚RS娉㈢兢璧烽粸鐨勯€ｇ窔浣滅偤鍙冭€冨熀婧�(zh菙n)绶氥€�

(2)ST 娈电殑娓噺鎳�(y墨ng)寰濲榛炲悗60锝�80ms铏曚綔涓€姘村钩绶�锛屾牴鎿�(j霉)姝ゅ熀婧�(zh菙n)绶氱⒑瀹氭湁鐒T娈电Щ浣�銆係T娈垫姮楂樻檪鎳�(y墨ng)鑷熀绶氫笂绶ｆ脯閲忚嚦ST 娈典笂绶ｏ紝ST 娈靛浣庢檪鎳�(y墨ng)寰炲熀绶氫笅绶ｆ脯閲忚嚦ST娈典笅绶�銆�

(3)ST娈垫姮楂樻噳(y墨ng)鎻忚堪ST 娈垫姮楂樼殑灏�(d菐o)鑱�(li谩n)銆佸舰鎱�(t脿i)鍙婂箙搴�銆備緥锛氬紦鑳屽悜涓婂瀷銆佷笂鏂滃瀷(浼碕榛炴姮楂�)銆佷笅鏂滃瀷銆佸柈鍚戞洸绶氬瀷銆佸法R 鍨嬨€佸纰戝瀷銆侀Μ闉嶅瀷銆佸嚬闈㈠悜涓婂瀷绛夈€�

(4)姝ｅ父浜篠T娈垫姮楂橈細鍦ㄨ偄楂斿皫(d菐o)鑱�(li谩n)≤0.1mV锛孷1锝濾3≤0.3mV锛孷4锝濾6≤0.1mV銆�

浠� J 榛炰笂绉荤偤鐗瑰緛鐨� ST 娈垫姮楂樿嫢鐒℃槑纰虹梾鍥犳檪鍙彁绀哄績瀹ゆ棭寰�(f霉)妤垫尝銆備緥锛氱珖鎬у績寰嬶紝鍓嶅伌(c猫)澹佸皫(d菐o)鑱�(li谩n)J 榛炰笂绉诲瀷 ST 娈垫姮楂�锛屾彁绀哄績瀹ゆ棭寰�(f霉)妤垫尝銆�

濡係T娈靛憟寮撹儗鍚戜笂鍨�銆佸柈鍚戞洸绶氬瀷銆佸纰戝瀷銆佸法R 鍨嬫姮楂橈紝鍙ê鏂风偤“XX 澹佸皫(d菐o)鑱�(li谩n)ST娈靛憟XXX鍨嬫姮楂�(寤鸿涓嶇敤鎼嶅偡鍨�)锛岃珛绲�(ji茅)鍚堣嚚搴�”锛屼互鍒ゆ柗ST娈佃嚚搴婃剰缇�銆�

(5)ST娈靛浣庢噳(y墨ng)鎻忚堪ST娈靛浣庣殑灏�(d菐o)鑱�(li谩n)銆佸舰鎱�(t脿i)鍙婂箙搴�銆�

ST娈靛浣庣殑鍚勭ó椤炲瀷浠娉㈠瀭鐩寸窔鑸嘢T娈靛欢闀锋鐨勫ぞ瑙掕▓绠楋細>90°鐐轰笅鏂滃瀷锛岀瓑浜�90°鐐烘按骞冲瀷锛�<90°鐐轰笂鏂滃瀷銆�

寤鸿ST娈电殑澹撲綆涓嶄綔瀹氭€цВ閲嬶紝鍙牴鎿�(j霉)鑷韩缍�(j墨ng)椹楁彁鍑哄弮鑰冩剰瑕�銆傚缓璀扮敤姘村钩鍨�銆佷笅鏂滃瀷銆佷笂鏂滃瀷绛�锛屼笉浣滅己琛€鍨嬨€佽繎浼肩己琛€鍨嬫弿杩�銆備緥锛氫笅澹佸皫(d菐o)鑱�(li谩n)ST娈靛憟姘村钩鍨嬪浣�0.1mV銆�

(6)ST娈靛欢闀�銆佺府鐭暥(d膩ng)ST 娈垫檪闁�≥160ms 鏅傦紝绋辩偤ST娈靛欢闀�;鐣�(d膩ng)ST娈垫檪闁�<50ms鏅�锛岀ū鐐篠T娈电府鐭�銆�

7銆乀娉㈡敼璁�

(1)姝ｅ父T 娉㈢殑褰㈡厠(t脿i)

浠� R 娉㈢偤涓荤殑灏�(d菐o)鑱�(li谩n)T娉㈡噳(y墨ng)鐩寸珛锛屽叾闋傜鍦撴粦涓嶉珮鑱�锛屽墠鑲笂鍗囩珐鎱�锛屽悗鑲笅闄嶈純闄�锛屾尟骞�≥鍚屽皫(d菐o)鑱�(li谩n)R 娉㈢殑1/10銆�

涓嬪灏�(d菐o)鑱�(li谩n)QRS 娉㈢兢浠 娉㈢偤涓绘檪锛屽鈪 娉㈡甯革紝鈪� T 娉㈠彲浠ヤ綆骞炽€侀洐鍚戞垨鍊掔疆锛宎VF T娉㈠彲浠ヤ綆骞�锛屼絾涓嶈兘鍊掔疆銆�

V1锝濾2 鐨� T娉㈠鐐虹洿绔�锛屽叾鍚嶸3锝濾6 T娉笉鑳藉嚭鐝�(xi脿n)鍊掔疆;V1锝濾2 T娉㈠鍊掔疆涓斿€掔疆娣卞害閬炴笡锛孷3 T娉㈠彲浣庡钩锛孷4 ~V6 T娉㈠潎涓嶈兘鍑虹従(xi脿n)浣庡钩銆佸€掔疆銆�

(2)濡傛灉T 娉㈠舰鎱�(t脿i)涓嶇鍚堜互涓婄壒寰佸強璁婂寲瑕�(gu墨)寰嬶紝鍧囪鐐篢娉㈡敼璁�銆�

(3)T娉㈤珮灏栵紝鍩哄簳閮ㄧ獎锛屽皪绋憋紝鍛堝赋绡锋ǎ锛屾噳(y墨ng)绲�(ji茅)鍚堢梾鍙�锛屾彁绀虹鍚堥珮閴€琛€鐧ュ績闆诲湒琛ㄧ従(xi脿n)銆�

(4)T 娉㈤珮鑱冲皪绋�锛屼即Q-T 闁撴湡寤堕暦锛屼笖鍚屾檪浼存湁鑳哥棝鑰�锛屾噳(y墨ng)绲�(ji茅)鍚堣嚚搴�锛屾彁绀虹鍚堣秴鎬ユ€ф湡蹇冭倢姊楁蹇冮浕鍦栬〃鐝�(xi脿n)銆�

(5)娓噺 T 娉㈢殑楂樺害鎴栧€掔疆鐨勬繁搴︽檪锛屾噳(y墨ng)浠ョ瓑闆讳綅绶氱偤鍩烘簴(zh菙n)銆�

8銆丵-T闁撴湡

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(2)Q-T 闁撴湡鑸囧績鐜囨湁闂�(gu膩n)锛孮-T 闁撴湡寤堕暦鎳�(y墨ng)妯�(bi膩o)娉ㄦ甯窺-T闁撴湡鐨勪笂闄愬€笺€備娇鐢ㄦ牎姝ｅ悗鐨凲-T闁撴湡锛屽嵆Q-TC锛孮-TC 鏍℃鍏紡(bazett 鍏紡)锛歈-T/濮≧-R(鍗冲績瀹ょ巼60 娆�/min鏅傜殑Q-T闁撴湡)

9銆乁娉�

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2024骞磋嚚搴婂煼(zh铆)妤�(y猫)閱�(y墨)甯€冪敓娉ㄦ剰锛�

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