1、 常见心电图的鉴别诊断常见心电图的鉴别诊断心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+67+67, 心率:心率:51bpm51bpm, P P:0.08s0.08s, QRSQRS:0.08s0.08s, P-RP-R:0.14s0.14s, QT/ QTcQT/ QTc:0.40/0.37s0.40/0.37s, Rv5Rv5:1.29mV1.29mV, Sv1Sv1:0.31mV0.31mV心电图诊断心电图诊断 窦性心动过缓窦性心动过缓 心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+89+89, 心率:心率:111bpm11
2、1bpm, P P:0.08s0.08s, QRSQRS:0.08s0.08s, P-RP-R:0.12s0.12s, QT/ QTcQT/ QTc:0.30/0.36s0.30/0.36s, Rv5Rv5:0.80mV0.80mV, Sv1Sv1:0.30mV0.30mV心电图诊断心电图诊断 窦性心动过速窦性心动过速 心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+41+41, 心率:心率:60bpm60bpm, P P:0.09s0.09s, QRSQRS:0.08s0.08s, P-RP-R:0.15s0.15s, QT/ QTcQT/ QTc:0.38/0
3、.40s0.38/0.40s, Rv5Rv5:2.06mV2.06mV, Sv1Sv1:0.42mV0.42mV心电图诊断心电图诊断 窦性心律,窦性暂博。窦性心律,窦性暂博。心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+41+41, 心率:心率:68bpm68bpm, P P:0.09s0.09s, QRSQRS:0.08s0.08s, P-RP-R:0.15s0.15s, QT/ QTc QT/ QTc:0.38/0.40s0.38/0.40s, Rv5Rv5:2.06mV2.06mV, Sv1Sv1:0.42mV0.42mV心电图诊断心电图诊断 窦性心律,窦
4、性心律,度度型窦房传导阻滞。型窦房传导阻滞。 心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+69+69, 心率:心率:70bpm70bpm, P P:0.10s0.10s, QRSQRS:0.09s0.09s, P-RP-R:0.23s0.23s, QT/ QTcQT/ QTc:0.39/0.37s0.39/0.37s, Rv5Rv5:1.32mV1.32mV, Sv1Sv1:0.68mV0.68mV心电图诊断心电图诊断 窦性心律,二度窦性心律,二度型房室传导阻滞(呈型房室传导阻滞(呈3 3:2 2房室传导)房室传导) 心电图基本测量心电图基本测量 QRSQRS
5、电轴:电轴:+58+58, 心率:心率:73bpm73bpm, P P:0.11s0.11s, QRSQRS:0.08s0.08s, P-RP-R:0.12s0.12s, QT/ QTcQT/ QTc:0.35/0.39s0.35/0.39s, Rv5Rv5:1.70mV1.70mV, Sv1Sv1:0.81mV0.81mV心电图诊断心电图诊断 窦性心动过速,房性期前窦性心动过速,房性期前P P波未下传。波未下传。 心电图基本测量心电图基本测量 QRSQRS电轴:电轴:+22+22,心率:,心率:53bpm53bpm, P P:0.08s0.08s, QRSQRS:0.07s0.07s, P-
6、RP-R:0.13s0.13s, QT/ QTc QT/ QTc:0.42/0.41s0.42/0.41s, Rv5Rv5:1.29mV1.29mV, Sv1Sv1:0.43mV0.43mV心电图诊断心电图诊断 窦性心律,窦性心律,房性早搏伴心室内差异传导房性早搏伴心室内差异传导心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+73+73, 心率:心率:69bpm69bpm, P P:0.09s0.09s, QRSQRS:0.07s0.07s, P-RP-R:0.18s0.18s, QT/ QTcQT/ QTc:0.35/0.38s0.35/0.38s, Rv5Rv
7、5:0.83mV0.83mV, Sv1Sv1:0.00mV0.00mV心电图诊断心电图诊断 窦性心律,室性早搏三联律窦性心律,室性早搏三联律 心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+12+12, 心率:心率:65bpm65bpm, P P:0.10s0.10s, QRSQRS:0.09s0.09s, P-RP-R:0.17s0.17s, QT/ QTcQT/ QTc:0.39/0.43s0.39/0.43s, Rv5Rv5:1.77mV1.77mV, Sv1Sv1:1.60mV1.60mV心电图诊断心电图诊断 窦性心律,室性早搏二联律窦性心律,室性早搏二联
8、律心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+50+50, 心率:心率:76bpm76bpm, P P:0.09s0.09s, QRSQRS:0.07s0.07s, P-RP-R:0.16s0.16s, QT/ QTcQT/ QTc:0.35/0.38s0.35/0.38s, Rv5Rv5:1.14mV1.14mV, Sv1Sv1:0.70mV0.70mV心电图诊断心电图诊断 窦性心律,窦性心律,成对成对室性早搏室性早搏心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+60+60, 心率:心率:66bpm66bpm, P P:0.1
9、0s0.10s, QRSQRS:0.08s0.08s, P-RP-R:0.15s0.15s, QT/ QTc QT/ QTc:0.37/0.39s0.37/0.39s, Rv5Rv5:1.84mV1.84mV, Sv1Sv1:0.59mV0.59mV心电图诊断心电图诊断 窦性心律,窦性心律,插入型插入型室性早搏室性早搏心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+27+27, 心率:心率:61bpm61bpm, P P:0.09s0.09s, QRSQRS:0.09s0.09s, P-RP-R:0.17s0.17s, QT/ QTcQT/ QTc:0.37/0.
10、39s0.37/0.39s, Rv5Rv5:2.00mV2.00mV, Sv1Sv1:1.00mV1.00mV心电图诊断心电图诊断 窦性心律,室性早搏(双源性)窦性心律,室性早搏(双源性) 心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:-20-20, 心率:心率:83bpm83bpm, P P:0.10s0.10s, QRSQRS:0.09s0.09s, P-RP-R:0.16s0.16s, QT/ QTcQT/ QTc:0.36/0.40s0.36/0.40s, Rv5Rv5:1.87mV1.87mV, Sv1Sv1:2.23mV2.23mV心电图诊断心电图诊断
11、 窦性心律,室性早搏(多型型),窦性心律,室性早搏(多型型),STST段水平压低(段水平压低(、V5V5、V6V6),),T T波低平波低平 心电图基本测量心电图基本测量 QRSQRS电轴:电轴:+58+58, 心率:心率:75bpm75bpm, P P:0.09s0.09s, QRSQRS:0.09s0.09s, P-RP-R:0.19s0.19s, QT/ QTc QT/ QTc:0.37/0.38s0.37/0.38s, Rv5Rv5:1.35mV1.35mV, Sv1Sv1:0.23mV0.23mV心电图诊断心电图诊断 窦性心律、房性早搏(三联律)窦性心律、房性早搏(三联律)心电图基本
12、测量心电图基本测量 QRSQRS电轴:电轴:+68+68, 心率:心率:62bpm62bpm, P P:0.09s0.09s, QRSQRS:0.08s0.08s, P-RP-R:0.19s0.19s, QT/ QTcQT/ QTc:0.38/0.37s0.38/0.37s, Rv5Rv5:0.78mV0.78mV, Sv1Sv1:0.73mV0.73mV心电图诊断心电图诊断 窦性心律,房性早搏二联律窦性心律,房性早搏二联律心电图基本测量心电图基本测量 QRSQRS电轴:电轴:+66+66, 心率:心率:73bpm73bpm, P P:0.12s0.12s, QRSQRS:0.84s0.84s
13、, P-RP-R:0.15s0.15s, QT/ QTc QT/ QTc:0.37/0.42s0.37/0.42s, Rv5Rv5:2.21mV2.21mV, Sv1Sv1:0.70mV0.70mV心电图诊断心电图诊断 窦性心律,房室交界性早搏窦性心律,房室交界性早搏 纸速:纸速:25mm/s 灵敏度灵敏度10mm/mV 滤波:滤波:0.0360Hz心电图基本测量心电图基本测量 QRSQRS电轴:电轴:+90+90, 心率:心率:94bpm94bpm, P P:0.09s0.09s, QRSQRS:0.10s0.10s, P-RP-R:0.12s0.12s, QT/ QTc QT/ QTc:0
14、.34/0.39s0.34/0.39s, Rv5Rv5:1.83mV1.83mV, Sv1Sv1:0.93mV0.93mV心电图诊断心电图诊断 窦性心律,房室交界性早搏窦性心律,房室交界性早搏 心电图基本测量心电图基本测量 QRSQRS电轴:电轴:+4+4, 心率:心率:70bpm70bpm, P P:0.09s0.09s, QRSQRS:0.08s0.08s, P-RP-R:0.14s0.14s, QT/ QTcQT/ QTc:0.38/0.41s0.38/0.41s, Rv5Rv5:1.15mV1.15mV, Sv1Sv1:0.93mV0.93mV心电图诊断心电图诊断 窦性心律,房性心动过
15、速窦性心律,房性心动过速心电图基本测量心电图基本测量 QRSQRS电轴:电轴:+66+66, 心率:心率:146bpm146bpm, P P:/ / , QRSQRS:0.07s0.07s, P-RP-R:/ / , QT/ QTcQT/ QTc:0.22/0.32s0.22/0.32s, Rv5Rv5:0.66mV0.66mV, Sv1Sv1:0.16mV0.16mV心电图诊断心电图诊断 阵发性交界性心动过速阵发性交界性心动过速心电图基本测量心电图基本测量 QRSQRS电轴:电轴:+67+67, 心率:心率:180bpm180bpm, P P:/ / , QRSQRS:0.08s0.08s,
16、 P-RP-R:0.02s0.02s, QT/ QTc QT/ QTc:0.19/0.30s0.19/0.30s, Rv5Rv5:1.21mV1.21mV, Sv1Sv1:0.53mV0.53mV心电图诊断心电图诊断 阵发性室上性心动过速阵发性室上性心动过速心电图基本测量心电图基本测量 QRSQRS电轴:电轴:-140-140, 心率:心率:135bpm135bpm, P P:/ / , QRSQRS:0.16s0.16s, P-RP-R:/ / , QT/ QTcQT/ QTc:0.24/0.35s0.24/0.35s, Rv5Rv5:0.27mV0.27mV, Sv1Sv1:0.00mV0
17、.00mV心电图诊断心电图诊断 室性心动过速室性心动过速心电图基本测量心电图基本测量 QRSQRS电轴:电轴:+69+69, 心率:心率:69bpm69bpm, P P:/ / , QRSQRS:0.08s0.08s, P-RP-R:/ / , QT/ QTcQT/ QTc:0.29/0.24s0.29/0.24s, Rv5Rv5:1.46mV1.46mV, Sv1Sv1:0.00mV0.00mV心电图诊断心电图诊断 心房扑动(呈心房扑动(呈4:14:1房室传导)房室传导) 心电图基本测量心电图基本测量 QRSQRS电轴:电轴:+90+90, 心率:心率:168bpm168bpm, P P:/
18、 / , QRSQRS:0.07s0.07s, P-RP-R:/ / , QT/ QTc QT/ QTc:0.21/0.40s0.21/0.40s, Rv5Rv5:1.65mV1.65mV, Sv1Sv1:0.51mV0.51mV心电图诊断心电图诊断 心房扑动(呈心房扑动(呈2:12:1房室传导)房室传导)心电图基本测量心电图基本测量 QRSQRS电轴:电轴:+61+61, 心率:心率:77bpm77bpm, P P:/ / , QRSQRS:0.09s0.09s, P-RP-R:/ / , QT/ QTc QT/ QTc:0.39/0.43s0.39/0.43s, Rv5Rv5:3.30mV
19、3.30mV, Sv1Sv1:0.32mV0.32mV心电图诊断心电图诊断 心房扑动伴(心房扑动伴(3:1-5:13:1-5:1房室传导),房室传导),心电图基本测量心电图基本测量 异位心律,异位心律, QRSQRS电轴:电轴:+60+60, 心率:心率:72bpm72bpm, P P:/ / , QRSQRS:0.08s0.08s, P-RP-R:/ / , QT/ QTc QT/ QTc:0.40/0.43s0.40/0.43s, Rv5Rv5:2.32mV2.32mV, Sv1Sv1:0.16mV0.16mV心电图诊断心电图诊断 心房颤动心房颤动心电图基本测量心电图基本测量 异位心律,异
20、位心律, QRSQRS电轴:电轴:+74+74, 心率:心率:101bpm101bpm, P P:/ / , QRSQRS:0.09s0.09s, P-RP-R:/ / , QT/ QTcQT/ QTc:0.38/0.45s0.38/0.45s, Rv5Rv5:2.05mV2.05mV, Sv1Sv1:0.58mV0.58mV心电图诊断心电图诊断 心房颤动心房颤动心电图基本测量心电图基本测量 异位节律,异位节律, QRSQRS电轴:电轴:-90-90, 心率:心率:151bpm151bpm, P P:/ / , QRSQRS:0.15s0.15s, P-RP-R:/ / , QT/ QTcQT
21、/ QTc:0.28/0.37s0.28/0.37s, Rv5Rv5:0.02mV0.02mV, Sv1Sv1:0.09mV0.09mV心电图诊断心电图诊断 心室扑动心室扑动- -心室颤动心室颤动心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+38+38, 心率:心率:83bpm83bpm, P P:0.08s0.08s, QRSQRS:0.09s0.09s, P-RP-R:0.28s0.28s, QT/ QTcQT/ QTc:0.37/0.41s0.37/0.41s, Rv5Rv5:1.70mV1.70mV, Sv1Sv1:0.00mV0.00mV心电图诊断心电
22、图诊断 窦性心律,一度房室传导阻滞窦性心律,一度房室传导阻滞 心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+69+69, 心率:心率:70bpm70bpm, P P:0.10s0.10s, QRSQRS:0.09s0.09s, P-RP-R:0.23s0.23s, QT/ QTcQT/ QTc:0.39/0.37s0.39/0.37s, Rv5Rv5:1.32mV1.32mV, Sv1Sv1:0.68mV0.68mV心电图诊断心电图诊断 窦性心律,二度窦性心律,二度型房室传导阻滞(呈型房室传导阻滞(呈3 3:2 2房室传导)房室传导) 心电图基本测量心电图基本测
23、量 QRSQRS电轴:电轴:+68+68, 心率:心率:62bpm62bpm, P P:0.09s0.09s, QRSQRS:0.08s0.08s, P-RP-R:0.19s0.19s, QT/ QTcQT/ QTc:0.38/0.37s0.38/0.37s, Rv5Rv5:0.78mV0.78mV, Sv1Sv1:0.73mV0.73mV心电图诊断心电图诊断 窦性心律,房性早搏二联律窦性心律,房性早搏二联律心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+90+90, 心率:心率:98bpm98bpm, P P:0.09s0.09s, QRSQRS:0.08s0.
24、08s, P-RP-R:0.15s0.15s, QT/ QTcQT/ QTc:0.44/0.53s0.44/0.53s, Rv5Rv5:1.54mV1.54mV, Sv1Sv1:0.24mV0.24mV心电图诊断心电图诊断 窦性心律,二度窦性心律,二度型房室传导阻滞(呈型房室传导阻滞(呈3:23:2房室传导)。房室传导)。心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+63+63, 心室率:心室率:63bpm63bpm, P P:0.08s0.08s, QRSQRS:0.10s0.10s, P-RP-R:/ s/ s, QT/ QTc QT/ QTc:0.35/0
25、.42s0.35/0.42s, Rv5Rv5:2.0mV2.0mV, Sv1Sv1:1.0mV1.0mV心电图诊断心电图诊断 窦性心律,二度房室传导阻滞(窦性心律,二度房室传导阻滞(2:12:1传导)传导)心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+126+126, 心率:心率:38bpm38bpm, P P:0.10s0.10s, QRSQRS:0.17s0.17s, P-RP-R:/s/s, QT/ QTc QT/ QTc:0.61/0.36s0.61/0.36s, Rv5Rv5:0.51mV0.51mV, Sv1Sv1:0.00mV0.00mV心电图诊断
26、心电图诊断 窦性心动过速,三度房室传导阻滞,室性逸搏心律窦性心动过速,三度房室传导阻滞,室性逸搏心律心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+26+26, 心率:心率:55bpm55bpm, P P:0.10s0.10s, QRSQRS:0.07s0.07s, P-RP-R:/s/s, QT/ QTc QT/ QTc:0.50/0.43s0.50/0.43s, Rv5Rv5:2.33mV2.33mV, Sv1Sv1:0.44mV0.44mV心电图诊断心电图诊断 三度房室传导阻滞,房室交界性逸搏心律三度房室传导阻滞,房室交界性逸搏心律心电图基本测量心电图基本测
27、量 异位心律,异位心律, QRSQRS电轴:电轴:+57+57, 心率:心率:37bpm37bpm, P P:/s/s, QRSQRS:0.08s0.08s, P-RP-R:/s/s, QT/ QTcQT/ QTc:0.53/0.30s0.53/0.30s, Rv5Rv5:0.80mV0.80mV, Sv1Sv1:0.40mV0.40mV心电图诊断心电图诊断 心房颤动伴三度房室传导阻滞,房室交界性逸博节律,心房颤动伴三度房室传导阻滞,房室交界性逸博节律,ST-TST-T改变改变 心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:-4-4, 心率:心率:60bpm60b
28、pm, P P:0.10s0.10s, QRSQRS:0.12s0.12s, P-RP-R:0.17s0.17s, QT/ QTcQT/ QTc:0.41/0.36s0.41/0.36s, Rv5Rv5:1.02mV1.02mV, Sv1Sv1:0.06mV0.06mV心电图诊断心电图诊断 窦性心律,完全性右束支阻滞窦性心律,完全性右束支阻滞 心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+4+4, 心率:心率:90bpm90bpm, P P:0.10s0.10s, QRSQRS:0.14s0.14s, P-RP-R:0.22s0.22s, QT/ QTc QT/
29、 QTc:0.38/0.42s0.38/0.42s, Rv5Rv5:0.77mV0.77mV, Sv1Sv1:2.42mV2.42mV心电图诊断心电图诊断 窦性心律,完全性左束支传导阻滞,窦性心律,完全性左束支传导阻滞,I I度房室传导阻滞度房室传导阻滞心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:-47-47, 心率:心率:90bpm90bpm, P P:0.10s0.10s, QRSQRS:0.10s0.10s, P-RP-R:0.16s0.16s, QT/ QTcQT/ QTc:0.33/0.38s0.33/0.38s, Rv5Rv5:1.42mV1.42m
30、V, Sv1Sv1:0.81mV0.81mV心电图诊断心电图诊断 窦性心律,左前分支阻滞。窦性心律,左前分支阻滞。C心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+56+56, 心率:心率:72bpm72bpm, P P:0.08s0.08s, QRSQRS:0.08s0.08s, P-RP-R:0.13s0.13s, QT/ QTcQT/ QTc:0.34/0.37s0.34/0.37s, Rv5Rv5:1.52mV1.52mV, Sv1Sv1:1.71mV1.71mV心电图诊断心电图诊断 窦性心律,窦性心律,T T波高尖,波高尖,STST段压低段压低心电图基本
31、测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:9090, 心率:心率:65bpm65bpm, P P:0.11s0.11s, QRSQRS:0.08s0.08s, P-RP-R:0.16s0.16s, QT/ QTc QT/ QTc:0.38/0.40s0.38/0.40s, Rv5Rv5:0.00mV0.00mV, Sv1Sv1:0.00mV0.00mV心电图诊断心电图诊断 前间隔、前壁心肌梗亚急性期前间隔、前壁心肌梗亚急性期心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:8484, 心率:心率:88bpm88bpm, P P:0.08s0.0
32、8s, QRSQRS:0.08s0.08s, P-RP-R:0.14s0.14s, QT/ QTcQT/ QTc:0.32/0.37s0.32/0.37s, Rv5Rv5:0.95mV0.95mV, Sv1Sv1:0.00mV0.00mV心电图诊断心电图诊断 窦性心律,窦性心律,急性前间隔、前壁心肌梗死急性前间隔、前壁心肌梗死 纸速:纸速:25mm/s 灵敏度灵敏度10mm/mV 滤波:滤波:0.0360Hz心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:7575, 心率:心率:76bpm76bpm, P P:0.10s0.10s, QRSQRS:0.09s0.09
33、s, P-RP-R:0.15s0.15s, QT/ QTc QT/ QTc:0.34/0.35s0.34/0.35s, Rv5Rv5:0.44mV0.44mV, Sv1Sv1:0.00mV0.00mV心电图诊断心电图诊断 急性前间隔、前壁心肌梗死急性前间隔、前壁心肌梗死纸速:纸速:25mm/s 灵敏度灵敏度10mm/mV 滤波:滤波:0.0360Hz心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:-68-68, 心率:心率:125bpm125bpm, P P:0.08s0.08s, QRSQRS:0.08s0.08s, P-RP-R:0.12s0.12s, QT/
34、QTc QT/ QTc:0.32/0.0.32s0.32/0.0.32s, Rv5Rv5:1.2mV1.2mV, Sv1Sv1:0.6mV0.6mV心电图诊断心电图诊断 STSTT T改变(结合胸痛病史及心肌酶谱的升高,可诊断为急性非改变(结合胸痛病史及心肌酶谱的升高,可诊断为急性非STST段心梗,段心梗,心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+55+55, 心率:心率:93bpm93bpm, P P:0.10s0.10s, QRSQRS:0.08s0.08s, P-RP-R:0.16s0.16s, QT/ QTc QT/ QTc:0.35/0.44s0.
35、35/0.44s, Rv5Rv5:1.49mV1.49mV, Sv1Sv1:0.30mV0.30mV心电图诊断心电图诊断 窦性心律,窦性心律,STST段水平压低(段水平压低(V5V5、 V6V6),),T T波倒置,波倒置,U U波倒置波倒置心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:-33-33, 心率:心率:78bpm78bpm, P P:0.08s0.08s, QRSQRS:0.10s0.10s, P-RP-R:0.14s0.14s, QT/ QTc QT/ QTc:0.43/0.41s0.43/0.41s, Rv5Rv5:2.68mV2.68mV, Sv
36、1Sv1:0.00mV0.00mV心电图诊断心电图诊断 窦性心律,陈旧性下壁心肌梗塞。左心室高电压,窦性心律,陈旧性下壁心肌梗塞。左心室高电压,Ptf V1Ptf V10.04mm0.04mms sC心电图基本测量心电图基本测量 窦性心律,窦性心律,QRSQRS电轴:电轴:+80+80, 心率:心率:99bpm99bpm, P P:0.09s0.09s, QRSQRS:0.08s0.08s, P-RP-R:0.14s0.14s, QT/ QTcQT/ QTc:0.30/0.37s0.30/0.37s, Rv5Rv5:1.66mV1.66mV, Sv1Sv1:0.51mV0.51mV心电图诊断心
37、电图诊断 窦性心律,右心房扩大窦性心律,右心房扩大纸速:纸速:25mm/s 灵敏度灵敏度10mm/mv 滤波:滤波:0.0360Hz心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:5252, 心率:心率:71bpm71bpm, P P:0.12s0.12s, QRSQRS:0.10s0.10s, P-RP-R:0.20s0.20s, QT/ QTcQT/ QTc:0.38/0.40s0.38/0.40s, Rv5Rv5:2.85mV2.85mV, Sv1Sv1:0.13mV0.13mV心电图诊断心电图诊断 窦性心律,左心房扩大窦性心律,左心房扩大纸速:纸速:25mm
38、/s 灵敏度灵敏度10mm/mv 滤波:滤波:0.0360Hz心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:0 0, 心率:心率:70bpm70bpm, P P:0.12s0.12s, QRSQRS:0.10s0.10s, P-RP-R:0.22s0.22s, QT/ QTc QT/ QTc:0.44/0.46s0.44/0.46s, Rv5Rv5:0.16mV0.16mV, Sv1Sv1:4.22mV4.22mV心电图诊断心电图诊断 窦性心律,双心房扩大、胸导联窦性心律,双心房扩大、胸导联R R波递增不良、波递增不良、T T波改变、波改变、QTQT延长延长心电图
39、基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+53+53, 心率:心率:69bpm69bpm, P P:0.10s0.10s, QRSQRS:0.09s0.09s, P-RP-R:0.18s0.18s, QT/ QTcQT/ QTc:0.44/0.46s0.44/0.46s, Rv5Rv5:4.11mV4.11mV, Sv1Sv1:0.53mV0.53mV心电图诊断心电图诊断 窦性心律,左心室肥大伴劳损窦性心律,左心室肥大伴劳损心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+120+120, 心率:心率:72bpm72bpm, P P:0
40、.07s0.07s, QRSQRS:0.10s0.10s, P-RP-R:0.17s0.17s, QT/ QTcQT/ QTc:0.42/0.41s0.42/0.41s, Rv5Rv5:0.95mV0.95mV, Sv1Sv1:0.20mV0.20mV心电图诊断心电图诊断 窦性心律,右心室肥大窦性心律,右心室肥大纸速:纸速:25mm/s 灵敏度灵敏度10mm/mv 滤波:滤波:0.0360Hz心电图基本测量心电图基本测量 窦性心律,窦性心律, QRSQRS电轴:电轴:+105+105, 心率:心率:64bpm64bpm, P P:0.08s0.08s, QRSQRS:0.11s0.11s, P-RP-R:0.18s0.18s, QT/ QTc QT/ QTc:0.38/0.40s0.38/0.40s, Rv5Rv5:3.06mV3.06mV, Sv1Sv1:1.33mV1.33mV心电图诊断心电图诊断 窦性心律,双心室肥大,窦性心律,双心室肥大,ST-TST-T改变改变 房颤宽房颤宽QRSQRS鉴别诊断鉴别诊断