逸搏

心房纤颤伴交界性逸搏20例

20 cases of atrial fibrillation with atrio - ventricular Ju notional escape beat

心房和房室交界区同步逸搏及逸搏-夺获二联律一例

Simultaneous escape and escape-capture bigeminy of atrial and AV junction

另有1例为窦性心动过缓、窦性停搏，交界性逸搏。

Case was at sinus bradycardia , sinus arrest and junctional escape rhythm .

交界区逸搏节律的细胞及电生理学基础

Cytological and electrophysiological basis of cardiac junctional escape rhythm

心房颤动：心率与心律同等重要⑥心室波的逸搏灶低下，在束支或分支阻滞平面以下，逸搏频率慢。

Atrial fibrillation : rate as important as rhythm ⑥ Ventricular escape rhythm was slower .

3例呈交界性逸搏心律，其中2例有Ⅰ°希氏束下阻滞。

Three cases had junctional escape rhythm , including 2 children with ⅰ° infraHis bundle block .

出现三次以上的结性（或室性）逸搏。

Three beats or more of nodal escape ( or ventricular escape ) occur in the leads of ECG .

3例中有1例出现完全性房室传导阻滞伴交界性逸搏心律，另有1例出现完全性右束支传导阻滞。

Complete atrioventricular block (ⅲ° AVB ) with atrioventricular node rhythm was found in 1 case , and complete right branch bundle block ( CRBBB ) in another one .

根据临床过程和37例次血清地高辛浓度检测结果提出：1.交界性逸搏并非中毒性心律失常。

According to the clinical course and serum digoxin concentration of 37 cases some different views on recognition of digitalis intoxication were proposed : 1 , The AV junction escape is not an indication of intoxication arrhythmia ;

提示心房颤动合并三度房室传导阻滞的心电图诊断条件应为完全性房室分离，且心室率以逸搏频率≤60次/min为准，而不是根据平均心室率。

ECG diagnostic criteria of atrial fibrillation complicated ⅲ° A _ V block were as follows : ( 1 ) complete atrioventricular dissociation ; ( 2 ) ventricular rate should base on escape rate ≤ 60 bpm and rather than average ventricular rate .

58例（45.67%）患者发生缓慢性心律失常，窦性心动过缓多见（91.38%，53/58），常合并交界性逸搏心律、交界性逸搏和窦性停搏。

Bradyarrhythmias were noted in 58 patients ( 45.67 % ) and more common in adults and in baseline head-up tilt table test ( BHUT ) . Sinoatrial bradycardia was familiar ( 53 / 58 ) and often accompanied by junctional escape rhythm , junctional escape and asystole .