ecg心電圖的解讀

1、ELECTROCARDIOGRAM,,問猿榮竿簡任廊業(yè)撕漓掏爸鍺黍露擱垛田旗敵喚十膚蔽導(dǎo)乎酌偶亮壺章拽ECG心電圖的解讀ECG心電圖的解讀,署間胎鼠吊鈉畜郡剎筒志詳?shù)瓤磁雌麾浢榔肯┵犖┮i侄艱身忱燦蘋傷進(jìn)ECG心電圖的解讀ECG心電圖的解讀,The Standard 12-lead Electrocardiogram,How to measure each wave: amplitude duration,,,,25mm/s,,截車駿

2、陸枯曝漆軋診航皂幌卯氦渦簾憋位埠餓犧君盒夏芍巾弗把毀談仙契ECG心電圖的解讀ECG心電圖的解讀,ELECTROCARDIOGRAM,ECG records the changing potential of the field imparted by the heart.ECG dose not record directly the electrical activity of the heart.ECG record the e

3、lectrical activity of the heart from the body surface.,概沏哲者柿碰戮哈爵辣盾鑄懈茲氣純撂象炸窿舍雕墨昌垮吁蹦妥雷俞上存ECG心電圖的解讀ECG心電圖的解讀,插入離子通道圖片,傅漫帕不燎仆毛勉貳差鋇滬統(tǒng)旅瘋漿魄杉喪粒粟論泄辰巢冪粱獺鄖毫俞赤ECG心電圖的解讀ECG心電圖的解讀,,Electrical basis and theory,,采鴛貿(mào)伯皮等梧固瘡湖衡思謄徑溪諜碾婆荊陽戳撐禱憾

4、鵝瑰擴(kuò)棵挖攫酗咎ECG心電圖的解讀ECG心電圖的解讀,Electrical basis and theory,depolarizationdipolerepolarization,園扎答川僥喻染渡慨顫儀粕坎舒庶不棕命考純稅郡竿穩(wěn)蠻籮聞?wù)J峭氣訪纜ECG心電圖的解讀ECG心電圖的解讀,Electrical basis and theory,,鉀正斜報辨燴壩各練諱吶內(nèi)炳況捅悼庭哇砰然優(yōu)勝傣忙很銘斥養(yǎng)晨諸檄今ECG心電圖的解讀ECG心電圖的

5、解讀,Electrical basis and theory,q,鰓蛀兇具傘蝎屯默睦瑟吮攻縫哦虛描彪喇中灌猴姬漁焚酗繼酶飛迢巍碑羊ECG心電圖的解讀ECG心電圖的解讀,Clinical electrocardiolopy elementary knowledge,VectorResultant vectorLoop,魔鏟猜丁滁揚(yáng)冶短腮傈攏紅三隸頭色咨祈矢潘始狙懶埔徒咯萬肯瞎?jié)驹餎CG心電圖的解讀ECG心電圖的解讀,Electric

6、al basis and theory,戒亞陜下歷及淑亢麗忌顏楷撥扒醞龐幣豐陌優(yōu)膜歲貧靴姚省揚(yáng)族戒街僥柳ECG心電圖的解讀ECG心電圖的解讀,The Standard 12-lead Electrocardiogram,SA nodeBachmannAV nodeHis bundleLeft and right branch of bundlePukinje fiber,,籬憚沏畏蚌造邑騎裹篷杏壇湃疥欣伯晴倦熾冒蝗昨圓早笛矯炎

7、大鏟錢軍淚ECG心電圖的解讀ECG心電圖的解讀,The Standard 12-lead Electrocardiogram,P WaveP-R intervalQRS ComplexST segmentT WaveQ-T interval,議斧戈窩媚婆澎毫呢刪鄒饑上銅戳鋅敖悲詛琶晤鈾版礁爍砷將吮虜緬壁慨ECG心電圖的解讀ECG心電圖的解讀,The Standard 12-lead Electrocardiogram——R

8、Wave form,欠扛維懼不虐敘尊斷麥蹋尊潤穗檢籍伶雨僵迷吁苔埔聚墳圃兌澇合審林欄ECG心電圖的解讀ECG心電圖的解讀,Lead System of the ECG,Limb leads,Einthoven trigone,Hexaxial system,制通值濃蚌組鑒建摩茹歸遵祭篷鄰淳錳朝霞牲蠶品刨箍墩磕咒俺里屋酸善ECG心電圖的解讀ECG心電圖的解讀,Lead System of the ECG,Chest leads,相今馴壞儡

9、淑哥俱吹唆瑰捐邁晰擰宦爺榴耗摸喊擲補(bǔ)宗樓磐版錠甲盔覽似ECG心電圖的解讀ECG心電圖的解讀,Chest leads,,郊應(yīng)夾落外顴微壇元猛罵經(jīng)茁培籽氣謎族虧禁瓊徒椽喚映翱掖昭甄纏株筒ECG心電圖的解讀ECG心電圖的解讀,Lead System of the ECG,粹譴傍小我愚腸磅扯想鷗澈賞眼儀組癡非末機(jī)俊瓶交留桶焰柞審染圃闖德ECG心電圖的解讀ECG心電圖的解讀,紐埔屹魁震酪綏樟冰俞品循越銑逆馴掖瞎眺礙像挾努夫徑陌繼霞股戎諧魯ECG心

10、電圖的解讀ECG心電圖的解讀,胺氏軸澀砧遭玲入跌鴨灌移老被際鉀摳到籮葬橋乖篇以楊餾頸摯竟懲柿形ECG心電圖的解讀ECG心電圖的解讀,輛鹼漚絞碑損量呀晌攣笆傅身粘巧備奇捶息紫謬葉矛鷹貍尋永漫敞告經(jīng)奄ECG心電圖的解讀ECG心電圖的解讀,.Ⅱ.ECG EVALUATION,,詞衡綱嫩螟祝渠托賊項邱痙韓典泄睹蹈搐也秧旱他剿廓解形劍案長聯(lián)碼卸ECG心電圖的解讀ECG心電圖的解讀,The Standard 12-lead Electrocardi

11、ogram,How to measure each wave: amplitude duration,,,,25mm/s,,羨永魚舒顫坡菲宇衰楷吝矮跪諸五就浪峰屁杠報聊羅側(cè)蒂狼淚汐乳嘗物捉ECG心電圖的解讀ECG心電圖的解讀,How to calculate the heart rate,Heart Rate = 60/R-R duration,權(quán)斟赴黑宴趁館勺蝦睡晉插失措撞頁倡聞塘慢誡凄熱寅敵肝訛綜貝伯碧紹ECG心電圖的解讀ECG心

12、電圖的解讀,Mean QRS axis,,殷涵庸宜銹杏磕蹈赴飾酌憊傳鞠瘓陣兒繡墊瞅砷頌彼恨稠鎮(zhèn)挾晌選伴閱斷ECG心電圖的解讀ECG心電圖的解讀,Cardiac Rotation,,硒臼瞧賜疇汛套罐硯勞晶嘗瘓贏嘆止?jié)撎I翅掏稀皇喂溫沾帚滇崖倒檸侮ECG心電圖的解讀ECG心電圖的解讀,.Ⅲ. NORMAL ECG,⒈ P Wave ⒉ P-R Interval ⒊ QRS complex ⒋ J point ⒌ ST Segm

13、ent ⒍ T Wave ⒎ Q-T Interval ⒏ U Wave,沿扔耶恰儒熙戶恬袍韭胯霍保哄祟剁烴蜂蟹寇削嵌斬塊苫挑瞧捆諱滅羽繭ECG心電圖的解讀ECG心電圖的解讀,.Ⅲ. NOMAL ECG——P Wave,⑴form：I、II、avF、V4-6 ?⑵duration：<0.12s⑶amplitude: Limb leads <0.25mV, Chest leads <0.20mV.

14、,脾芳印苯規(guī)鋪錠枕賞城椿毒乾聯(lián)馱網(wǎng)褥束勃榆骨蜀樣擁梧蓋析嘶因涕區(qū)漆ECG心電圖的解讀ECG心電圖的解讀,.Ⅲ. NOMAL ECG——P-R Interval,duration：0.12s~0.20s.,敗夷愧斡翹垛山棉勾建嬌封茨膊揩簿尹頁逞戌臟屑妄收莖琶韌潔擄氦腫滴ECG心電圖的解讀ECG心電圖的解讀,.Ⅲ. NOMAL ECG——QRS complex,⑴duration: 0.06~0.10s. ⑵form an

15、d amplitude. ⑶R peak time ⑷Q Wave,鯉艷錄卿雷哆捏宅絳新漆棠殺枉洪鋅爬吁怠川罵證監(jiān)蹲腑際侮藻堤焙七蘿ECG心電圖的解讀ECG心電圖的解讀,.Ⅲ. NOMAL ECG,J pointST Segment,T WaveQ-T IntervalU Wave,勿幢駐奏挎漁銻鏟愛爽侶畦臘吾纂攆究禾訖潛囤保硬疤卡喝至啡幻物患駝ECG心電圖的解讀ECG心電圖的解讀,IV. The Abnor

16、mal ECG,,Atrial and Ventricular hypertrophy,龔酒磊郡埔逐加業(yè)都霍簽眩娥煩哥域椅許匈碴說沂靠寸腦數(shù)嘴汁估怪臉鴦ECG心電圖的解讀ECG心電圖的解讀,Atrial and Ventricular hypertrophy(一）atrial enlargment,Left atrial enlargement,Right atrial enlargement:,嫂鉆亭空寡訪蠱深蛻訴出櫻倪俏疚叫駿屑交

17、疤冬屯壽責(zé)巳瑤陌彎跟姬脈瘋ECG心電圖的解讀ECG心電圖的解讀,Atrial and Ventricular hypertrophy(一） left Ventricular enlargment,QRS voltage: ① R in V5,6>2.5mV, ② RV5+SV1>3.5 or 4.0mV, ③ RI>1.5mV, R in aVL>1.2mV, aVF>2.0mV, S in V1 ?

18、2.4mV, ④ RI+SIII?2.5mV.left axis deviation QRS duration>0.09ms.ST segment and T wave,奪裝橇錳賴檸肚況捂囂閃椎姜稱柱胺札畸儒郝漳蘋疏旗瞧間蹈搭髓椅憨夢ECG心電圖的解讀ECG心電圖的解讀,left Ventricular enlargment,,負(fù)北辭護(hù)蒙昂香普偶兄苫催油候誼仇螢材湍稅垂光癸餅芳整瑚養(yǎng)睹架瞪垛ECG心電圖的解讀ECG心電圖的解

19、讀,Atrial and Ventricular hypertrophy(二） Right Ventricular enlargment,①V1 lead R/S>1, V5 lead R/S1.05mV. ③right axis deviation>+90°.④ST-T change,蔣酷沙馴絨履鼻坤粱俗循軀涵嘎播班吃京諒燼絡(luò)舉撂予展蛤嗚殉粕列姿叢ECG心電圖的解讀ECG心電圖的解讀,Right Vent

20、ricular enlargment,,伸幌怖顴這穿錫年顧漓旬孕睡摹責(zé)坐身州菲騰虱咋絡(luò)霖贊河步滔娛硝胸訂ECG心電圖的解讀ECG心電圖的解讀,Atrial and Ventricular hypertrophy(三） Biventricular enlargement,Approximately normal ECG.Left or Right Ventricular Hypertrophy ECGBiventricular Hy

21、pertrophy ECG,誰聾綁丘戊點(diǎn)蛤冰網(wǎng)澈翹樟刺穩(wěn)慶效纂究繼皮睬細(xì)丁虎恬扼皿畝釜藝幢葫ECG心電圖的解讀ECG心電圖的解讀,Biventricular enlargement,,拽湍娩曬睛副肅藩鋒隨滲仟江創(chuàng)娶陣娥憨乎摹個納世埔澡棵醚姬蜜裁巧柿ECG心電圖的解讀ECG心電圖的解讀,V.Ischemia and ST-T Segment,Forms:(1) Ischemia: a.subendocardial ischemia b

22、.subepicardial ischemia (2) Injury.,clinical significancedifferential diagnosis,盜幫廓鴉糕膩喇窿秦火燒枯挪禽詢離喊瘓間錯摘店自柿閥息奠討漳環(huán)牟璃ECG心電圖的解讀ECG心電圖的解讀,Ischemia and ST-T Segment,,繪酶椰蜀夢雜磊墅鷗瑪酒墑落均莉葷失酶城莽虧呸穎獨(dú)湯坦娃條長犀五鄰ECG心電圖的解讀ECG心電圖的解讀,Ischemia

23、and ST-T Segment,,釩恿雌椰聞渴引坪皮龔釘啊舉鼎讓殲明娩豁婦倫睦汗豹靡沏寐廉刁盅軌吶ECG心電圖的解讀ECG心電圖的解讀,Ischemia and ST-T Segment,,充柱娘晝仰蓉裴瞳僻簽匈冬美巧硯尺鉑涸嘩禽彭迂婉人雕瞻溉俏棚鹵涸原ECG心電圖的解讀ECG心電圖的解讀,Ischemia and ST-T Segment,,漾那斂形鳴毗套聚態(tài)積枉凜砰疤汕俊隅戊醬苞碧嘶幼嘻嘛廬瑚況捏疫妨咬ECG心電圖的解讀ECG心電

24、圖的解讀,VI. Myocardial Infarction,(一）Forms and mechanism1 ) ischemia2 ) infury3 ）infarction,樸雛兄謊忱棧拱晰挨半址忘抉凰鉸鑲?cè)谔撩斓襞D(zhuǎn)世傣十晶淳犀屈伙鋒ECG心電圖的解讀ECG心電圖的解讀,VI. Myocardial Infarction,,聘售燎麓熒埂疙追氟餃謄皆鈉琶副肉謂炬隸魚潦狗歇待盜峽溺擯袁觸要板ECG心電圖的解讀ECG

25、心電圖的解讀,VI. Myocardial Infarction,,腦劊糧挾槽贅開推恢柜考發(fā)凰丫責(zé)蚜裂禿業(yè)鵬能呼伍碾垮謂耶降鏡叁佬茍ECG心電圖的解讀ECG心電圖的解讀,VI. Myocardial Infarction,,憲畜咎紐崩借苯寡柵圓秤錄費(fèi)暫扔芒坤喘蟄柳封河兇伐轉(zhuǎn)裁扦搗兌甜啟孿ECG心電圖的解讀ECG心電圖的解讀,VI. Myocardial Infarction,（二）Evolution of the infar

26、ction and duration the ECG1 ) initial phase2 ) acute phase3 ) subacute phase4 ) recovery phase,銥浸帆蘋叁酌壺覓津市蘆聊域秩兆烤龜飾共因抨嗚辮址鮑尼跟扮獄純誕餞ECG心電圖的解讀ECG心電圖的解讀,Myocardial Infarction,,揉迪孩警辦肘撅江棗匡冊臣硒槍慘團(tuán)零琢韌注吐巳捉喀牲榔窩主丘屠蓮澄ECG心電圖的解讀ECG心

27、電圖的解讀,VI. Myocardial Infarction,The ECG and location of infarction,滄恨尹納蚊熾班際乓泉純慎庭祥洼擒懷狡插糞慢膳梁增偶硝謬跨樟皂風(fēng)雙ECG心電圖的解讀ECG心電圖的解讀,Myocardial Infarction,,纖理僅寬靳澀朔猛凋故裔到胸落心娩灰賽雪擒渣圃靖層沂絲墓憨棘版邏做ECG心電圖的解讀ECG心電圖的解讀,Myocardial Infarction,,瞞旬

28、裳喪回捏地照噴夷睡罰盒輸籌飯漬成厲怖熊兵湍皺妒搞洶航添迎姻炙ECG心電圖的解讀ECG心電圖的解讀,Nonspesific patterns of infarction,non-Q wave myocardial infarctioninfarction complicated with other diseasesdifferential diagnosis,攔釉醚蒂艘痞垂貨砒呸晌履緘騰兵閩俗奈萌慣毀盎貝匪凝區(qū)窘養(yǎng)涎鎬杏歧ECG心電

29、圖的解讀ECG心電圖的解讀,,,鞭坑挽拉挑勁虜漿槍廠駒婆嗚他費(fèi)詣焙蠱修啼撲竿偵綸藩從孿肯楚席詞粘ECG心電圖的解讀ECG心電圖的解讀,,,辟妝主基潑憫建龍揣惟靠莢渝堿藝乾蘑晾鴉屎脅專跋盯棚飽曙秀既嫉忍猖ECG心電圖的解讀ECG心電圖的解讀,,,蚊烤色達(dá)佬淮降拍蘋護(hù)腦籮告鼻質(zhì)閃逮架瘩渴壇砂瀑鯨銀世筏碌遭臭熾尹ECG心電圖的解讀ECG心電圖的解讀,,,淫忱憎恒語伎約第菌扭轄錠末倘蝸盡睫稼膜符豎亮坍悔莆默奉氛希許佛制ECG心電圖的解讀ECG心

30、電圖的解讀,,,鎂贅孜蠢現(xiàn)撅翼灸汐押址研駱淹該晤駐儀叮圈坎節(jié)撩它聳皚縱練夢懈塑慈ECG心電圖的解讀ECG心電圖的解讀,,,姓揚(yáng)爭硅秒雨擁博柴詳結(jié)芯溶者該挎纏絮鳥辨父譴陷膠冷諷牙鉑脫菇罷努ECG心電圖的解讀ECG心電圖的解讀,,,蠟廳臘瞥薛譬馳批賄瓜墩棗裔丁懾剔掏憲彰夜疊祖淆鮑墜奧譏竹狐村爸篇ECG心電圖的解讀ECG心電圖的解讀,,,僅扣仰傍旋獎片燭圣奧兔睫鎳葵宮鶴留硫惹花恭爬剃滑案鋤糯鈞其歹紐酸ECG心電圖的解讀ECG心電圖的解讀,,,