天津医药

天津医药 ›› 2017, Vol. 45 ›› Issue (7): 753-755.doi: 10.11958/20170495

• 临床研究 • 上一篇    下一篇

儿童非典型心房扑动一例

李玉娟，杨艳章   

  1. 1 天津市儿童医院 （邮编 300134）； 2 河北省人民医院
  • 收稿日期:2017-04-20 修回日期:2017-05-16 出版日期:2017-07-15 发布日期:2017-08-08

A case report of atypical atrial flutter in child

LI Yu-juan,YANG Yan-zhang   

  1. 1 Tianjin Children’ s Hospital, Tianjin 300134, China; 2 Hebei General Hospital
  • Received:2017-04-20 Revised:2017-05-16 Published:2017-07-15 Online:2017-08-08

PDF (PC)

3558

摘要： 非典型心房扑动（房扑）发作时体表心电图有别于典型房扑，由于诊断意识不强，易被误诊为窦性心律、房性心动过速（房速）、Ⅲ度房室传导阻滞等。本文报道 1 例儿童非典型房扑病例，除具有心房律规整、心室率波动较大、心房率快于心室率等典型房扑的特点外，还存在等电位线、发作时心房率慢、下壁导联和 V1 导联 F 波同时直立等有别于典型房扑的表现。

关键词: 心房扑动, 心动过速, 异位房性, 房室传导阻滞, 心电描记术, 儿童, 非典型心房扑动

Abstract: The characteristic of atypical atrial flutter episodes on electrocardiogram is different from the typical atrial flutter. Due to the poor diagnosis awareness about atypical atrial flutter, which is easily misdiagnosed as other arrhythmia, for example sinus arrhythmia, atrial fibrillation, and Ⅲ°atrioventricular block. Here we reported a case of atypical atrial flutter in child. In addition to the characteristics of typical atrial flutter, such as regular and more fixed atrial rhythm, fluctuated ventricular rate, faster atrial rate than the ventricular rate, the patient was found equipotential line, slow atrial rate, and uprighted F wave on the inferior wall leads and V1 lead of electrocardiogram, which were different from typical atrial flutter.

Key words: atrial flutter, tachycardia, ectopic atrial, atrioventricular block, electrocardiogram, child, atypical atrial flutter

中图分类号: