\ \

...::::...

  • ϳ
  •  

    ...::::...

  • ³

  • ..:: (I00-I99), ::...

    ,

    ,

    , ( ),

    1

    2

    I

    (I00-I99),

    38



    : (, , , ), ( , - , ), , , () , , I00-I09, I26-I52,

    ) II- - III 䳿

    ) II- 䳿

    ,

    ) I 䳿

    ,

    ) '

    39


    : , ' I10-I15 ( , )

    ) III 䳿

    ) II 䳿

    ,

    ) I 䳿

    ,

    40


    : I20-I25 ( 䳿, , ); ( , , , , , )

    ) II- - III 䳿

    ) II- 䳿

    ,

    ) I 䳿

    ,

    41



    : I60-I69 (, , () ,G45 , , (, ), , , , , , ࠠ, , , ; , , ). : - G90 ( 83)

    ) ;

    ) ;

    ,

    )

    ,

    42



    : , I70-I79 ( , , , ; , ; ; ( , 㳿)); , , ; , I80 - I89 (, , , ; ; , , , , ; , )

    ) ;

    ) ;

    ,

    ) ;

    ,

    ) '

    43


    : I84

    ) 쳺;

    ,

    ) 2 - 3 䳿;

    ,

    )

    44

    ,


    , ,

    (I00-I99),

     

    38

    䳿 ͠ / 򳠠  .
    䳿 ͠ ' ⠠ ͠ ' ( / ) ࠠ ⠠ ⠠ 砠 (̠ ), - 6 . 堠 蠠 頠 堠 ࠠ 蠠 ( -) .
    ࠠ 򳠠 ࠠ , , . 쳿 7 ,  ﳿ . AV-蠠 I ࠠ II , .

    "" , II- III , .
    , "" 䳿 : ;
    - III-V , 3 - 4 ;
    - 䳿;
     ;
    : , , , ;
    , , ;
     , ( -) ( AV- ' ) II - III ;
    ;
    䳿;
    , ;
    - AV- III ;
    , - AV- II , ;
    - AV-, ࠠ 󺠠 ' , 고 ' , ʳ-, , ' ;
    ;
    :  Q-T, , ;
    ;
    Q-T ;
    -  򳠠 , , --;
    볿  𳿠  ꠠ ;
    , , ;
    , 㳺 / 쳺, 砠 蠠 ;
    ( ) III - IV .
    糿 堠 .
    糿  , I, ""; - 򳠠  糿 II - "", I - "".

    "" , II- 䳿.
    , "" 䳿 :  ;
    () , 2 II 䳿, 糿;
    ( 2 ) , , ;
    䳿;
    , ;
    , ( , "");
    () - --ࠠ (젠 WPW), 젠 󠠠 P-R(Q)- -- (CLC) -- (LGL) ;
    Q-T;
    ;
    , ࠠ : ࠠ (30 ), , , ;
    蠠 , 고 ࠠ QRS >= 0,12 c.;
    AV- II I ;
    ó, AV- ;
    , / 㳺 / 쳺 II ;
     砠 ( AV- ' ) I 䳿.

    "" , I 䳿.
    , "" :
    ;
    ;
     - -- (젠 WPW), 젠 󠠠 P-R(Q) - -- (CLC) -- (LGL) ;
    ;
    ó AV- ;
    ࠠ ( );
    ;
    : , , ( 30 );
    AV- I ;
      ⠠ , ,  I 䳿, 2 .
    ⠠ 砠 . : I - 2 , II - 2 - 4 , III - 4 ;

    "" , 堠 ͠ ࠠ 蠠 .
    , "" :
    蠠 'ࠠ , , ;
    , I ;
     𳿠 糿.
    , 고 ( ) , , () V- I ,  ó, , .

     3 

    ------------------------------------------------------------------
    || | 6-頠 |  |
    | ͠ | | -ࠠ |  |
    | | |(  ,|  ࠠ |
    | | |  |   砠 |
    | | |  6 ) | 젠 |
    | | | | 젠 |
    | | | |(  |
    | | | | ) ( ) |
    |------+---------------+--------------------+--------------------|
    | 1 | 2 | 3 | 4 |
    |------+---------------+--------------------+--------------------|
    | I | ࠠ |426-550 | - |
    | |, | |101 - 150 |
    | |, | |Ƴ - 86 - 125 |
    | |󠠠 | | |
    | |, | | |
    | | ' | | |
    | |   | | |
    | | | | |
    | | | | |
    | | | | |
    | |  | | |
    | |.  | | |
    | |   | | |
    | |蠠 | | |
    | | | | |
    | |  | | |
    | | | | |
    | |⠠ | | |
    | | | | |
    | | | | |
    | | -- | | |
    | | | | |
    | | | | |
    | |  | | |
    | |  栠 | | |
    | |45%  蠠 | | |
    | | | | |
    | | | | |
    | | | | |
    | | ؠ | | |
    |------+---------------+--------------------+--------------------|
    |͠ | ࠠ |300-425 | - |
    |II- |, | |51 - 100 |
    | |, | |Ƴ - 51 - 85 |
    | |󠠠 | | |
    | |, | | |
    | | ' | | |
    | |  | | |
    | |󠠠 | | |
    | | | | |
    | || | |
    | |젠 | | |
    | |蠠 | | |
    | |   | | |
    | |  | | |
    | |󠠠 | | |
    |------+---------------+--------------------+--------------------|
    |͠ | ࠠ |150-300 | ࠠ |
    |II- |, | | -  51 |
    | |, | | |
    | |󠠠 | | |
    | |, | | |
    | |蠠 | | |
    | |䳿, | | |
    | | ' | | |
    | |  | | |
    | |󠠠 | | |
    | | | | |
    | | - | | |
    | | | | |
    | |蠠 | | |
    | |蠠 | | |
    | | 󠠠 | | |
    | | 󠠠 | | |
    | | | | |
    | |󠠠 | | |
    |------+---------------+--------------------+--------------------|
    | III| ࠠ |  150 |  |
    | |  | | |
    | |, | | |
    | |, | | |
    | |,  | | |
    | |䳿  | | |
    | | . | | |
    | | 堠 | | |
    | | | | |
    | |  | | |
    | |  | | |
    | |, | | |
    | | 蠠 | | |
    | |  | | |
    | | 頠 | | |
    | |, | | |
    | | | | |
    | | | | |
    | | | | |
     | ⠠ | | | 
     

    39

    砠 젠 젠 젠 .
    ࠠ 򳠠 ' ꠠ -.
    頠 砠  蠠 䳿 -.

      4 
       糿    
    ------------------------------------------------------------------
    | 𳿠 | |ij|
    | |  .. |  ..|
    |-------------------------------------+-------------+------------|
    | 1 | 2 | 3 |
    |-------------------------------------+-------------+------------|
    | Ҡ | | |
    |-------------------------------------+-------------+------------|
    |頠 |< 120 |< 80 |
    |頠 |< 130 |< 85 |
    | 頠 |130 - 139 |85 - 89 |
    |-------------------------------------+-------------+------------|
    | ó | | |
    |-------------------------------------+-------------+------------|
    |1  (' ) |140 - 159 |90 - 99 |
    |2  ( ) |160 - 170 |100 - 109 |
    |3  ( ) |> 180 |>= 110 |
    |   |<= 140 |<= 90 |
    ----------------------------------------------------------------- 

    "" :

    III 䳿;
    () ;
    糿 3 ;
     糿 - .
    :
    ) , ;
    ) II- - III .;
    ) , , , III 䳿,
    ;
    ) ;
    ) 133 / ( > 1,5 /), - 124 / ( > 1,4 /);
    ) 300 ;
    ) ;
    ) .
    III 䳿  ' - . ij  III 䳿 , III 䳿 蠠 , -  ,  ' -頠 ( , ).
    , .

    "" :

    II 䳿;
    糿 2 ;
    II 䳿 ' 蠠 - :
     ࠠ (ࠠ 蠠 à ( - - 堠 38 , ( S (V3) R (aVL) () QRS (aVL) - 2440), - ( () - 125 /., - 110 /.), ), , - - 䳿  𳿠 > 0,9 , , 𳿠 (30-300 /), - 22 / (2,5 /), - 31 / (3,5 /) / ⠠ 쳠 ( ⠠ - 115-133 / (1,3-1,5 /), - 107-124 / (1,2-1,4 /), (< 60 //1,73 .) 蠠 񠠠 󠠠 (< 60 /),  -  볠 堠 12 /, - ' 0,9.
    II 䳿 , Ⳡ II ( , ). ( ).

    "" I 䳿 蠠 蠠  ( : - 140 젠 .. ࠠ ,  - 90 .. ). 䳿 ' - .
    糿 18 , . ( 2 1-2 ) . , ( 2-3 3-4 ).
    ࠠ ( , ), ࠠ , .
    ij I, II, III .
    󠠠 󠠠  蠠 ࠠ ࠠ 砠 蠠 .
    ʠ .

    40

    IXѠ (': , -, ;
    - , - , ).
    䳿 ͠ ࠠ , 򳠠 38.

    "" :

    III - IV ;
    , 頠 砠 䳿 ;
    䳿 ʠ II II- 䳿 ;
    - , ( ) II- 䳿 ;
    ( -) ( AV-' ) II- ;
    ;
    䳿;
    , ;
    - AV- III ;
    , - AV- II , ;
    ;
    ;
    Q-T ;
    -  򳠠 , 젠 젠  --.
    , 75 ;

    "" :

    II ;
    ;
    䳿;
    , ;
    , ( );
    Q-T ;
    - , ( ) I 䳿;
    , 75-100 ;
    , , 䳺;
    : ( - 30 ), , , ;
    ;
    蠠 , , ࠠ QRS >= 0,12 ;
    AV- II I ;
    ó, AV- .

    "" :

    I , , 125 ;
    , , 䳺;
    - , ( ) , , ;
    ;
     I 䳿;
    AV- I ;
    ó AV- AV- I ;
    ;
    ;
    ;
    : , , ( 30 ).
    蠠  䳿 ⠠ ࠠ ࠠ .
    :
    I - 䳿. , . - 125 ;
    II 頠 - 堠 . ຠ , , , . - 75-100 ;
    III - . ຠ 1-2 (100-200 ) . - 50 - 75 ;
    IV - - .
    䳿 ' IV .
    - 25 .

      5 
       
    ------------------------------------------------------------------
    |蠠 | 񠠠 |
    |--------------+-------------------------------------------------|
    | | I | II | III | IV |
    |--------------+--------------+----------+---------+-------------|
    | |7,0   |4,0 - 6,9 |2,0 - 3,9| 2,0 |
    | () | | | | |
    |--------------+--------------+----------+---------+-------------|
    |頠 |278   |218 - 277|151 - 217| 150 |
    |ꠠ | | | | |
    |(. .) | | | | |
    |--------------+--------------+----------+---------+-------------|
    | |125   |75 - 100 |50 - 75 |25  ̠ |
    | | | | ||
    | | | | | |
    | | | | | |
    |() | | | | |
    ------------------------------------------------------------------ 

    41

    "" :

    ;
     ,  ;
    蠠 III 䳿 (, , , , , (, ) , 㳿, 고 , , , , ).

    "" :

    蠠 ;
    蠠 , ;
    ;
    ( ) , , 볠 ;
     򳿠 II 䳿 󠠠 , 頠 , (-Ⳡ , , , , , , , , );
     蠠 ( , ࠠ , , );
    䳠 .

    "" :

    ;
    ( ) ,   (, 糿, , Ⳡ ), 고 ;
    .
    ຠ  I 䳿 (頠 , , 젠 󠠠 , , , , ' ).  蠠 , 堠 : , , , , 蠠  , .
    , I ,   () , "", II, III - "".
    II, III 堠 44 .
    糠 , 고 , "" .
    ϳ  , ,  , , , . , I, II, III, "", "" "" .

    42

    򳠠 . .

    "" :

    ;
    , , 㳿 򠠠 蠠 (- );
    , ;
    ;
    , ;
    ࠠ ࠠ , - III ( , , ࠠ , , , ꠠ );
    -;
    IV ;
    (, , , , ) .

    "" :

    , 㳿, 򠠠 II 䳿;
     ࠠ , - III ( , ຠ , , , , );
    III ;
    頠 ࠠ ;
    ' ࠠ III 䳿 ( ,   , ). , II, III , ' III "".

    "" :

    , 㳿, I 䳿;
     II ( , , );
    II ;
    ' II 䳿.

    "" :

    ꠠ 砠 ꠠ (I );
    I ( , ).
    ' , I , , .
    ϳ , ࠠ , 고 I , "", II, III - "" .
    ij .
    ,  ' 蠠 ( , -, -, ).

    43

    򳠠 . Ӡ "", "" "" -  쳿, 蠠 䳿 . , 2-3 (1 ) 󠠠 , ,  II-III , , .

    44

    (, , , ), , 젠 Ѡ (, ), , 볿 , , , 򳠠 , , , , , .
    , , , , .
    , II-III , , , , '.
    ³, II-III,  Ѡ (볠 䳿, , ), ( ),  ﳿ 䠠 '.

     

     

    ̲

     


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