射频消融致背部电极接触处皮肤二度灼伤1例

SOUTH CHINA JOURNAL OF CARDIOVASCULAR DISEASES（2006）

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Abstract

1 病例报告患者女性,54岁,阵发性心悸10年,再发并加重1日入院. 体格检查:血压 100/60 mm Hg(1 mm Hg=0.133kPa),心界不大,心率187次/分,律齐,无杂音. 心电图:QRS波呈室上性,R-R间期320 ms,规则;食管导联心电图QRS波后可见逆P(P')波,R-P'间期120ms,R-P'/P'-R小于1,食管导联P'领先于V1导联P'30ms.采用食道调搏终止心动过速,心动过速停止时呈交界性逸搏心律,心率20次/分.立即予以食管心房起搏,约2分钟恢复为窦性心律,此时心率60次/分,QRS波正常,其前无预激波.

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