???

??????????????????????N?????????????????????????????QRS????????

???????N???????????????pre-excitation syndromWPWWolf-Parkinson-White????????????? ??????????????200/min??????????300/min???????????? ??????????????????? ??????N????????????????QRS?????N???????????????????NQRS?????? ???????????????????QRS???N????QRS????????N????????N??????N?????QRS????????? ?????????...

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?????
P?,P?.~P??T,??,QRS,??.
QRS??????QRS???
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??
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????????/??A???????????????????????? ??????????A?????S1????
1.???????,????,II,III,aVFV1,.??250-300/2,?,?????.3.QRS??,?????,QRS?,??
?.????y.CCB?????.??,????,???,???.???,??CCB IA(?)IC(?)??????,??,CCB?????,???,??????D?,I,III???,???...

??????????
(1)?????????
(2)???????????????????????????????????????
????????????????????????????????????????????????
(3)??????????
(4)????????


? ?

?

?? Lanatoside ?K?(?)

???????????



? ?

? ???? ??

Caffeine

?- ? ???? ? ?? ??


?S?? ?K??^ ??@????^ z????

S??@

?P-R ????

1.?? A-H ?60msH-V

2.??P-R(A-H)?100ms

3.??200 /min ??11 ?

4.??P-R ?0.12s(?7)

?????



1.??

(1)P-R ?????

P-R ?0.12s(?1)

QRS ??

P-J ?

???ST-T ??

(2)?P-R ?????

?P-R ???????P-R ?0.12s?0.080.11s?P ?QRS ?P-R ?
...