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目的探讨束支传导的文氏现象心电图表现,为临床治疗提供依据。方法收集我院收治的有束支阻滞患者的典型和不典型文氏现象的病例8例,对其临床资料进行回顾性分析。结果 8例中依据心电图特点、临床相关资料、24h动态心电图(DCG)分析,确诊为束支传导的文氏现象6例。另2例依据其临床症状体征,多项生化检查,心脏B超及心电图特点,最后均被确诊为病理性文氏型束支传导伴严重器质性心脏病。结论结论束支文氏现象的临床预后较差,它可以通过心电图做出诊断,能够及时为临床的诊治提供依据。
Objective To study the ECG manifestations of bundle branch conduction Wen’s phenomenon and provide the basis for clinical treatment. Methods Eight cases of typical and atypical ventricular arrhythmia cases with bundle branch block in our hospital were collected and their clinical data were retrospectively analyzed. Results According to the characteristics of electrocardiogram, clinical data and 24-hour dynamic electrocardiogram (DCG) analysis in 8 cases, 6 cases were diagnosed as Wen’s phenomenon of bundle branch conduction. The other 2 cases based on clinical signs and symptoms, a number of biochemical tests, heart B ultrasound and ECG characteristics, and finally were diagnosed as pathological Wen’s bundle branch conduction with severe organic heart disease. Conclusions Conclusion The clinical outcome of bundle branch Wen’s syndrome is poor. It can be diagnosed by electrocardiogram and provide the basis for clinical diagnosis and treatment.