<P >谢谢医生的回复<FONT face="Times New Roman">,20</FONT>日我带他做了个心动图<FONT face="Times New Roman">,</FONT>报告是<FONT face="Times New Roman">:</FONT></P>1 f i% A3 u2 U: }7 N* z; ^. D
<P >心率概况：最小心率<FONT face="Times New Roman">47 </FONT>发生在<FONT face="Times New Roman">00:07:53 </FONT></P>3 D, g& N6 j- ^: G/ w0 e P
<P ><FONT face="Times New Roman"> </FONT>最大心率<FONT face="Times New Roman">146 </FONT>发生在<FONT face="Times New Roman">11:02:28</FONT></P>! d% N" ]- K* r @( O- B
<P ><FONT face="Times New Roman"> </FONT>平均心率<FONT face="Times New Roman">79</FONT></P>
+ [- F1 D) h& O* Q3 E<P ><FONT face="Times New Roman"> QRS</FONT>波总数<FONT face="Times New Roman"> 107202</FONT></P>
7 A. Y: U7 I; C4 P1 y8 Y<P ><FONT face="Times New Roman"> </FONT>监测时间<FONT face="Times New Roman">22</FONT>小时<FONT face="Times New Roman">,30</FONT>分</P>( n! G$ W/ T& X/ P# S( F: }5 x& d
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
# x- v% U8 l% ~, E8 D8 r/ B<P >室上性异常：单发<FONT face="Times New Roman"> 7014</FONT></P>% H \# k0 U6 @1 p; [8 h
<P ><FONT face="Times New Roman"> </FONT>成对<FONT face="Times New Roman"> 1</FONT></P>
# e# q! W: D" w# b# `* \<P ><FONT face="Times New Roman"> </FONT>次连发<FONT face="Times New Roman"> 0</FONT></P>
4 [( E' ~3 i0 d4 K- K2 {# u: z<P ><FONT face="Times New Roman"> </FONT>总数<FONT face="Times New Roman"> 7016</FONT></P>
& w) j( y5 v: W+ _6 c0 z( F- J<P ><FONT face="Times New Roman"> <p></p></FONT></P>- M& u% b+ \1 m
<P >室性异常<FONT face="Times New Roman"> </FONT>：单发<FONT face="Times New Roman"> 1</FONT></P>3 a4 n- x* f- C; B+ N* @
<P ><FONT face="Times New Roman"> </FONT>成对<FONT face="Times New Roman"> 0</FONT></P>. A! _. O5 h6 b( o* V1 {+ t u
<P ><FONT face="Times New Roman"> </FONT>次连发<FONT face="Times New Roman"> 0</FONT></P>) {7 G' D4 U2 e1 I" x$ q* K, v
<P ><FONT face="Times New Roman"> R ON T: 0</FONT></P>
" F( E' N% X$ z$ h: `2 k+ L<P ><FONT face="Times New Roman"> </FONT>总数<FONT face="Times New Roman"> 1</FONT></P>) H2 }# O$ U6 D) S) J
<P ><FONT face="Times New Roman"> <p></p></FONT></P>
* k; n8 b( u3 o+ b<P >心率变异：<FONT face="Times New Roman"> %RR>50: 48%</FONT></P>& |4 Y$ \+ a6 z' i2 Q4 G. ?3 e
<P ><FONT face="Times New Roman"> rms-SD: 165ms</FONT></P>
. Y# R# ?0 ]' k- i2 v6 K<P ><FONT face="Times New Roman"> Magid</FONT>标准差<FONT face="Times New Roman">115ms</FONT></P>
+ f' I" w% J& X9 b( W/ M<P ><FONT face="Times New Roman"> kleiger</FONT>标准差<FONT face="Times New Roman">202ms</FONT></P>
8 e1 O; [, }( n; I, q<P ><FONT face="Times New Roman"> <p></p></FONT></P>% ^% D E5 j! \
<P >停博：</P>
& W9 C. ?* k! t: Y<P ><FONT face="Times New Roman"> </FONT>整个监护时间起始于<FONT face="Times New Roman">08:53:16,</FONT>持续时间为<FONT face="Times New Roman">22</FONT>小时<FONT face="Times New Roman">30</FONT>分<FONT face="Times New Roman">.24</FONT>小时平均心率为<FONT face="Times New Roman">79BPM,</FONT>最慢的心率为<FONT face="Times New Roman">47BPM,</FONT>发生在<FONT face="Times New Roman">00:07:53,</FONT>最快心率为<FONT face="Times New Roman">146,</FONT>发生在<FONT face="Times New Roman">11:02:28.</FONT></P>4 j, b6 n6 M! x9 X; A7 t
<P ><FONT face="Times New Roman"> </FONT>室上性异位心博共有<FONT face="Times New Roman">7016</FONT>次<FONT face="Times New Roman">,</FONT>其中偶发个数为<FONT face="Times New Roman">7014,1</FONT>次成对<FONT face="Times New Roman">,</FONT>室上速有<FONT face="Times New Roman">0</FONT>阵<FONT face="Times New Roman">.</FONT></P>3 P' I; G( {3 o! @" i4 e. J- B) ~
<P ><FONT face="Times New Roman"> </FONT>室性异位心博共有<FONT face="Times New Roman">1</FONT>次<FONT face="Times New Roman">,</FONT>其中偶发个数为<FONT face="Times New Roman">1,0</FONT>次成对<FONT face="Times New Roman">,0</FONT>次<FONT face="Times New Roman">RonT,</FONT>室速有<FONT face="Times New Roman">0</FONT>阵<FONT face="Times New Roman">.</FONT></P>
4 Z9 b; c6 y) N# V1 N) J5 o7 H2 E8 }<P ><FONT face="Times New Roman"> </FONT>最长的<FONT face="Times New Roman">R-R</FONT>间期是<FONT face="Times New Roman">1.54</FONT>秒<FONT face="Times New Roman">,</FONT>出现在<FONT face="Times New Roman">03:05:43,RR</FONT>间期超过<FONT face="Times New Roman">2.0</FONT>秒的心博时间总和共有<FONT face="Times New Roman">0</FONT>秒</P>4 k5 i8 a( \0 J" X+ Z
<P ><FONT face="Times New Roman"> </FONT>心率变异性时域测值<FONT face="Times New Roman">:RR-50</FONT>为<FONT face="Times New Roman">48%,rms-SD</FONT>为<FONT face="Times New Roman">165</FONT>毫秒<FONT face="Times New Roman">,Magid SD</FONT>为<FONT face="Times New Roman">115</FONT>毫秒<FONT face="Times New Roman">,</FONT>和<FONT face="Times New Roman">Kleiger SD</FONT>为<FONT face="Times New Roman">202</FONT>毫秒</P>
1 k' m' ]8 K) Z9 ]" l' \! _5 ^! E<P ><FONT face="Times New Roman"> <p></p></FONT></P>
2 B# d% l8 H( f; U# c<P >备注：<FONT face="Times New Roman"> </FONT></P>
; A. s9 ]/ q2 M' i. q4 x7 L<P ><FONT face="Times New Roman"> 1</FONT>、窦性心律不齐；<FONT face="Times New Roman">2</FONT>、频发房早、部份呈成对或伴差传；<FONT face="Times New Roman">3</FONT>、偶发室早；<FONT face="Times New Roman">4</FONT>、部份<FONT face="Times New Roman">T</FONT>波改变（<FONT face="Times New Roman">HR>120bpm</FONT>时）</P>
) J9 t% {" c$ g) v<P ><FONT face="Times New Roman"> 5</FONT>、心率变异性良好</P>
5 S0 U2 q) L2 j' Y- a<P ><FONT face="Times New Roman"> <p></p></FONT></P>
& r( z" z2 u0 a. m/ H9 ?<P >根据心律统计表来看室上性早博次数最少的在小孩刚入睡时<FONT face="Times New Roman">21:03</FONT>——<FONT face="Times New Roman">01:03</FONT>这<FONT face="Times New Roman">4</FONT>个小时，分别是<FONT face="Times New Roman">82</FONT>、<FONT face="Times New Roman">49</FONT>、<FONT face="Times New Roman">47</FONT>、<FONT face="Times New Roman">54</FONT>次；次数最多的分别在<FONT face="Times New Roman">11:03-12:03</FONT>是<FONT face="Times New Roman">421</FONT>次<FONT face="Times New Roman">;15:03-16:03</FONT>是<FONT face="Times New Roman">523;16:03-17:03</FONT>是<FONT face="Times New Roman">519</FONT>次<FONT face="Times New Roman">;</FONT>次日<FONT face="Times New Roman">06:03-07:03</FONT>是<FONT face="Times New Roman">559</FONT>次<FONT face="Times New Roman">.</FONT></P>* p% _5 j0 g- `: X
<P >同时还做了血液全部检查<FONT face="Times New Roman">,</FONT>结果有白细胞总数偏低<FONT face="Times New Roman">,</FONT>为<FONT face="Times New Roman">3.5G/L,</FONT>其他的都在正常值内<FONT face="Times New Roman">,</FONT>请问<FONT face="Times New Roman">:</FONT>他的这种早博是属什么类型的<FONT face="Times New Roman">?</FONT>一般是如何引起的<FONT face="Times New Roman">?</FONT>这段时间他频繁地感冒<FONT face="Times New Roman">,</FONT>会不会与此有关<FONT face="Times New Roman">?</FONT>他从没有过心脏不适的感觉<FONT face="Times New Roman">,</FONT>我要不要限制他运动<FONT face="Times New Roman">?</FONT></P> |
IP卡
发表于 2005-4-25 05:18:18
提升卡
置顶卡
锁帖卡
变色卡
千斤顶
发表于 2005-4-25 22:49:02
发表于 2005-4-26 05:24:53
