房室肥大心肌缺血課件整理

人的差異在于業(yè)余時間房室肥大心肌缺血人的差異在于業(yè)余時間房室肥大心肌缺血1第三節(jié)心房與心室肥大1.心房肥大atrialhypertrophy2.心室肥大ventricularhypertrophy第三節(jié)心房與心室肥大21.心房肥大atrialhypertrophy正常竇性心律時,每個QRs波前均有一個P波,VP波在I、Ⅱ、V6P波向上。aVRP波向下。V1P波可以雙向,但(1)>(2RA正常P波寬度<0.12sec,高度<3mmLA、1.心房肥大atrialhypertrophy3心房肥大示意圖NORMALHADHAGACTIVATIONAURICULAIRENORMALE心房肥大示意圖4①右心房肥大rightatrialhypertrophy②左心房肥大leftatrialhypertrophy③雙心房肥大biatrialhypertrophy①右心房肥大5右心房肥大rightatrialhypertrophyRARA■圃P波尖銳高聳,在Ⅱ、Ⅲ、aVF導聯表現最為突出,其電壓20.25mV,V1P波可呈雙向,P波寬度并不增加,但電壓2015mV,稱為肺型P波。常見于慢性肺源性心臟病和某些先心病。右心房肥大rightatrialhypertrophy6左心房肥大leftatrialhypertrophyARALA輯聿P波增寬,時間2011sec;常伴有顯著的切跡,兩峰間距>0.04sec:P波在I、ⅡaVL導聯表現最突出,V1P波多呈雙向,(2)>(1)。常見于二尖瓣病變,稱為“二尖瓣型P波”左心房肥大leftatrialhypertrophy7雙側心房肥大biatrialhypertrophyRALA、RAP波尖銳高聳,在Ⅱ、Ⅲ、aVF導聯表現最為突出,其電壓20.25mV,其時間2011sec,VP波可呈雙向,P波寬度也增寬,其電壓2015mV。運回雙側心房肥大biatrialhypertrophy82.心室肥大ventricularhypertrophy①左心室肥大leftventricularhypertrophy②右心室肥大rightventricularhypertrophy③雙心室肥大biventricularventricularhypertrophy2.心室肥大ventricularhypertrophy9心室肥大示意圖心室肥大示意圖10(一)左心室肥大LeftventricularVectorpr。jectI。nsFrontalLeadProjectionsHypertr。phyFrontalPlaneappositetheORSQRSMeanTwavevectorHorizontal4PrecordialLeadProjectionsPlaneORsFrontosuperiorsectionoftheventricles8∠Time=婦Slentwavevector(一)左心室肥大11房室肥大心肌缺血課件整理12房室肥大心肌缺血課件整理13房室肥大心肌缺血課件整理14房室肥大心肌缺血課件整理15房室肥大心肌缺血課件整理16房室肥大心肌缺血課件整理17房室肥大心肌缺血課件整理18房室肥大心肌缺血課件整理19房室肥大心肌缺血課件整理20房室肥大心肌缺血課件整理21房室肥大心肌缺血課件整理22房室肥大心肌缺血課件整理23房室肥大心肌缺血課件整理24房室肥大心肌缺血課件整理25房室肥大心肌缺血課件整理26房室肥大心肌缺血課件整理27房室肥大心肌缺血課件整理28房室肥大心肌缺血課件整理29房室肥大心肌缺血課件整理30房室肥大心肌缺血課件整理31房室肥大心肌缺血課件整理32房室肥大心肌缺血課件整理33房室肥大心肌缺血課件整理34房室肥大心肌缺血課件整理35房室肥大心肌缺血課件整理36房室肥大心肌缺血課件整理37房室肥大心肌缺血課件整理38房室肥大心肌缺血課件整理39房室肥大心肌缺血課件整理40房室肥大心肌缺血課件整理41房室肥大心肌缺血課件整理42房室肥大心肌缺血課件整理43房室肥大心肌缺血課件整理44房室肥大心肌缺血課件整理45房室肥大心肌缺血課件整理46房室肥大心肌缺血課件整理47房室肥大心肌缺血課件整理48房室肥大心肌缺血課件整理49房室肥大心肌缺血課件整理50房室肥大心肌缺血課件整理51房室肥大心肌缺血課件整理52房室肥大心肌缺血課件整理53房室肥大心肌缺血課件整理54房室肥大心肌缺血課件整理55房室肥大心肌缺血課件整理56房室肥大心肌缺血課件整理57房室肥大心肌缺血課件整理58房室肥大心肌缺血課件整理59房室肥大心肌缺血課件整理60房室肥大心肌缺血課件整理61房室肥大心肌缺血課件整理62房室肥大心肌缺血課件整理63房室肥大心肌缺血課件整理64房室肥大心肌缺血課件整理65房室肥大心肌缺血課件整理66房室肥大心肌缺血課件整理67房室肥大心肌缺血課件整理68房室肥大心肌缺血課件整理69房室肥大心肌缺血課件整理70房室肥大心肌缺血課件整理71房室肥大心肌缺血課件整理72房室肥大心肌缺血課件整理73房室肥大心肌缺血課件整理74房室肥大心肌缺血課件整理75房室肥大心肌缺血課件整理76房室肥大心肌缺血課件整理77房室肥大心肌缺血課件整理78房室肥大心肌缺血課件整理79房室肥大心肌缺血課件整理80房室肥大心肌缺血課件整理81房室肥大心肌缺血課件整理82房室肥大心肌缺血課件整理83房室肥大心肌缺血課件整理84房室肥大心肌缺血課件整理85房室肥大心肌缺血課件整理8626、要使整個人生都過得舒適、愉快，這是不可能的，因為人類必須具備一種能應付逆境的態(tài)度。——盧梭

27、只有把抱怨環(huán)境的心情，化為上進的力量，才是成功的保證?！_曼·羅蘭

28、知之者不如好之者，好之者不如樂之者?！鬃?/p>

29、勇猛、大膽和堅定的決心能夠抵得上武器的精良。——達·芬奇

30、意志是一個強壯的盲人，倚靠在明眼的跛子肩上?！灞救A謝謝！8726、要使整個人生都過得舒適、愉快，這是不可能的，因為人類必人的差異在于業(yè)余時間房室肥大心肌缺血人的差異在于業(yè)余時間房室肥大心肌缺血88第三節(jié)心房與心室肥大1.心房肥大atrialhypertrophy2.心室肥大ventricularhypertrophy第三節(jié)心房與心室肥大891.心房肥大atrialhypertrophy正常竇性心律時,每個QRs波前均有一個P波,VP波在I、Ⅱ、V6P波向上。aVRP波向下。V1P波可以雙向,但(1)>(2RA正常P波寬度<0.12sec,高度<3mmLA、1.心房肥大atrialhypertrophy90心房肥大示意圖NORMALHADHAGACTIVATIONAURICULAIRENORMALE心房肥大示意圖91①右心房肥大rightatrialhypertrophy②左心房肥大leftatrialhypertrophy③雙心房肥大biatrialhypertrophy①右心房肥大92右心房肥大rightatrialhypertrophyRARA■圃P波尖銳高聳,在Ⅱ、Ⅲ、aVF導聯表現最為突出,其電壓20.25mV,V1P波可呈雙向,P波寬度并不增加,但電壓2015mV,稱為肺型P波。常見于慢性肺源性心臟病和某些先心病。右心房肥大rightatrialhypertrophy93左心房肥大leftatrialhypertrophyARALA輯聿P波增寬,時間2011sec;常伴有顯著的切跡,兩峰間距>0.04sec:P波在I、ⅡaVL導聯表現最突出,V1P波多呈雙向,(2)>(1)。常見于二尖瓣病變,稱為“二尖瓣型P波”左心房肥大leftatrialhypertrophy94雙側心房肥大biatrialhypertrophyRALA、RAP波尖銳高聳,在Ⅱ、Ⅲ、aVF導聯表現最為突出,其電壓20.25mV,其時間2011sec,VP波可呈雙向,P波寬度也增寬,其電壓2015mV。運回雙側心房肥大biatrialhypertrophy952.心室肥大ventricularhypertrophy①左心室肥大leftventricularhypertrophy②右心室肥大rightventricularhypertrophy③雙心室肥大biventricularventricularhypertrophy2.心室肥大ventricularhypertrophy96心室肥大示意圖心室肥大示意圖97(一)左心室肥大LeftventricularVectorpr。jectI。nsFrontalLeadProjectionsHypertr。phyFrontalPlaneappositetheORSQRSMeanTwavevectorHorizontal4PrecordialLeadProjectionsPlaneORsFrontosuperiorsectionoftheventricles8∠Time=婦Slentwavevector(一)左心室肥大98房室肥大心肌缺血課件整理99房室肥大心肌缺血課件整理100房室肥大心肌缺血課件整理101房室肥大心肌缺血課件整理102房室肥大心肌缺血課件整理103房室肥大心肌缺血課件整理104房室肥大心肌缺血課件整理105房室肥大心肌缺血課件整理106房室肥大心肌缺血課件整理107房室肥大心肌缺血課件整理108房室肥大心肌缺血課件整理109房室肥大心肌缺血課件整理110房室肥大心肌缺血課件整理111房室肥大心肌缺血課件整理112房室肥大心肌缺血課件整理113房室肥大心肌缺血課件整理114房室肥大心肌缺血課件整理115房室肥大心肌缺血課件整理116房室肥大心肌缺血課件整理117房室肥大心肌缺血課件整理118房室肥大心肌缺血課件整理119房室肥大心肌缺血課件整理120房室肥大心肌缺血課件整理121房室肥大心肌缺血課件整理122房室肥大心肌缺血課件整理123房室肥大心肌缺血課件整理124房室肥大心肌缺血課件整理125房室肥大心肌缺血課件整理126房室肥大心肌缺血課件整理127房室肥大心肌缺血課件整理128房室肥大心肌缺血課件整理129房室肥大心肌缺血課件整理130房室肥大心肌缺血課件整理131房室肥大心肌缺血課件整理132房室肥大心肌缺血課件整理133房室肥大心肌缺血課件整理134房室肥大心肌缺血課件整理135房室肥大心肌缺血課件整理136房室肥大心肌缺血課件整理137房室肥大心肌缺血課件整理138房室肥大心肌缺血課件整理139房室肥大心肌缺血課件整理140房室肥大心肌缺血課件整理141房室肥大心肌缺血課件整理142房室肥大心肌缺血課件整理143房室肥大心肌缺血課件整理144房室肥大心肌缺血課件整理145房室肥大心肌缺血課件整理146房室肥大心肌缺血課件整理147房室肥大心肌缺血課件整理148房室肥大心肌缺血課件整理149房室肥大心肌缺血課件整理150房室肥大心肌缺血課件整理151房室肥大心肌缺血課件整理152房室肥大心肌缺血課件整理153房室肥大心肌缺血課件整理154房室肥大心肌缺血課件整理155房室肥大心肌缺血課件整理156房室肥大心肌缺血課件整理157房室肥大心肌缺血課件整理158房室肥大心肌缺血課件整理159房室肥大心肌缺血課件整理160房室肥大心肌缺血課件整理161房室肥大心肌缺血課件整理162房室肥大心肌缺血課件整理163房室肥大心肌缺血課件整理164房室肥大心肌缺血課件整理165房室肥大心肌缺血課件整理166房室肥大心肌缺血課件整理167房室肥大心肌缺血課件整理168房室肥大心肌缺血課件整理169房室肥大心肌缺血課件整理170房室肥大心肌缺血課件