2014
. . ... .. : - , 2014. 48 .
: ... .., ... .., ... . ., ... .., ... .., ... .., : .., ..
21.10.2013 . 8.
, 2013
, P, Q, R, S T.
, , . , ( ), .
. 1. ( 12 50 /) .
, :
- ,
- ,
- .
: 1 - ( ), 2 - . . 1 . 1.
1
( 50 /)
: | : |
1.=___________, ____________ . QRS (/) II ____________________________________ ____________________________________ ____________________________________ : I II III (< = >) | : ____________________________ : ____________________________________ : ______________________ ____________________________________ : _________________________________________________ |
2.RRmax=________, RRmin=_________, RR.=_______, RRmax-RRmin = _______, _______ . | : _________________________________ |
3.60/RR () | ____________ / |
4.RI= ____ , RII= ____ , RIII = ____ , 5.SI= ____ , SIII= ____ | : ________________________ |
6.PQ= ____________ . | / : ____________________________________ |
7.QRS II =__________ . R V1______ , R V1+ S V6= ____________ . QRS V1 _______________ R I _____, R aVL ________, R V6 ______ , RV4 RV5 RV6 (< = >) R V6+S V1 =__________ , QRS V6 ________________ : V1 _________ , V6 _________ . | ____________________________________ ________________________________________________________________________________________________________________________________________________ : ____________________________________ ________________________________________________________________________________________________________________________________________________ |
8.QT. = . | ___________________ |
9. Q : ____________________________________ ST ____________________________________ ST ____________________________________ T | (/): ________ ________________________ _____________________________ |
9. ____________________________________ ________________ | : ____________________________________ |
:
|
|
___________________________, __________________________, ___________/. |
: __________________, _______________________________________ |
: |
: |
: |
( ): |
, .. . : , , 10 . ( QRS: 50 / 5 , 25 / - 2-3 ).
:
1) . II P, .
. 2. .
2 |
4 |
.
. 3. .
4 |
2 |
- .
|
|
II P , QRS P , (. 2). . 2.
2
1) QRS 2) II | ||
1) QRS 2) II 3) QRS , | ||
1) QRS 2) QRS , | ||
1) QRS 2) II 2) QRS , | ||
() | 1) QRS 2) QRS , | |
1) QRS 2) II , 3) QRS , | ||
1) 2) 3) | ||
() | P , , QRS . |
. 2. ( P II , . 3). () , . , 50 /, 1 = 0,02 , 25 / 0,04 . P , :
4 *0,02 = 0,08
, ( 2 , 0,08 ), . 1, . , , , .
2) . ( 12 ) R-R ( R-R , - ). . 4 R-R 42 41 ( 0,84 0,82 ). , R-R 0,15 . <0,15 (0,84-0,82=0,02 ), . . 1 R-R, : (0,84+0,82):2=0,83 , .
41 |
42 |
. 4. R-R .
QRS , R-R 3-5 R-R. , . 5 R-R 34, 25 20 ( 0,68, 0,5 0,4 ), R-R 0,68-0,4=0,28 ( >0,15 ), , . . 1 , (0,4 ), (0,68 ) (0,54 ) R-R.
|
|
25 |
34 |
20 |
. 5. R-R .
3) (). , :
60 = --------------- R-R ( ) |
R-R , , R-R . 1, , R-R. , R-R = 0,83 , , = 60/0,83=72 /, 72 /.
, R-R, . , . 5 , R-R 0,68, 0,5 0,4 . , - 88 /., 150 /, = 120 /, .
(). . α , I . α , (Q+R+S) I III . QRS, , Q S (-), , R (+). - , (0). , I III , α.
00 +900. :
- +300 +690;
- +700 +900 ( , , , );
- +290 00 ( , , ;
- <00, .. (, );
- > +900 ( ).
QRS . R (. 6).
R=10,5 |
R=10,5 |
R=3 |
S |
|
|
. 6. .
. 6 R I 10,5 , II 10,5 , III 3 , , III S. . 3 . . 1 , QRS . , RI=RII>RIII, S III , - .
3
RII>RI>RIII | RI≥RII>RIII, SIII>RIII | RIII≥RII>RI, SI>RI | |
4) . , , , . .
1. . :
1.1.
1.2.
1.3.
1.4.
1.5.
, . , , , . , . 4, , . 1.
4