Professional Documents
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(SUPRAVENTRICULAR TACHYCARDIA)
BS. CuTy-Angiang
Bao gom : - Nhp nhanh xoang - Nhp nhanh nh - Nhp nhanh bo noi - Cuong nh - Rung nh C che : - O t ong gia toc (Accelerated automaticity) - Vao lai(re-entry). ieu kien:
Co vong thch hp ap ng dan truyen khac nhau 2 ben vong S dan truyen u cham e nhanh kia co u thi gian hoi phuc
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ac iem chung:
1. Phc hp QRS bnh thng Tan so 100 200 l/p 2. Song P co dang bat thng nhng luon co moi tng quan vi QRS 3. Thng co ST _ T ao
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1.
I.
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QRS bnh thng PR ngan hn bnh thng Tan so : 100 200 l/p
2. a)
b) c)
Song P nhieu hnh dang Nhp hoan toan khong eu PP PR RR eu thay oi Thng i kem block A V Tan so nh 100 200 Tan so that 100 150 l/p
3.
QRS bnh thng Tan so QRS : 60 130 l/p Khong co song P i trc 10/22/2013
2.
P bnh thng vi PR dai bnh thng Thng bat au bang 3 NTT nh lien tuc Nhp eu, PP khong thay oi QRS bnh thng Tan so 140 250 l/p
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3.
a)
Vao lai theo ng phu di canh nut A-V (AV bypass tachycardia) Orthodromic Antidromic b) Vao lai trong nut A-V : Slow fast Fast slow
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QRS bnh thng tan so 170 250 l/p Bat au bang 1 NTT nh RR khi au hi dai hn bnh thng P ngc theo sau QRS
Co song Kch thch phe v lam cham hoac cham dt cn nhp nhanh
QRS dan rong , tan so 170 250 l/p Bat au bang 1 NTT nh PR khi au bnh thng P ngc, i trc QRS
Cham nhanh
Xay ra PR khi au Thng gap Khi au bang Lien quan P/QRS Tan so
10/22/2013
Nhanh cham
dai dang bnh thng tre em NTT nh hoac that P sau QRS RP>PR 100 150 l/p
kch phat keo dai ngi ln NTT nh P an hoac ngay sau QRS 140 200 l/p
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H. 1
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H. 2
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H. 3
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H. 4
H. 5
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H. 6
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H. 7
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H. 8
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H. 9