ekg u 31 lekciji
Post on 10-Feb-2018
516 Views
Preview:
TRANSCRIPT
-
7/22/2019 EKG u 31 lekciji
1/32
. ,
31
!
70 , . , .
-
7/22/2019 EKG u 31 lekciji
2/32
2
1.
() .
. 25 cm/,
0.04 , 0.1 mV. ( 5x 5 ) 0.2 , 0.5 mV.
-
7/22/2019 EKG u 31 lekciji
3/32
3
2.
SA-,
AV- ( - P ), ( - QRS ).
, ( ST -) , - -.
PT
R
Q s
SA
AV HISS-
-
7/22/2019 EKG u 31 lekciji
4/32
4
3.
12 "".
, . :
-
7/22/2019 EKG u 31 lekciji
5/32
5
4.
, .
, . , V1 V6.
-
7/22/2019 EKG u 31 lekciji
6/32
6
5.
( )
-:
P
PQ ( P Q ) - V
QRS
S ( S ) , -
P
Q
R
S
T
-
7/22/2019 EKG u 31 lekciji
7/32
7
6.
- -
: P : 2,5 , 3
PQ ( P Q): 3 5
QRS : 5 22 , 2,5
: 6 , 5
Q ( Q ) 8 10
S ( S ) 2 PQ
P
Q
R
S
T
-
7/22/2019 EKG u 31 lekciji
8/32
8
7.
12 ,
:1. - , -
R .2. .
1500 R ()
3. . . - ,
.
-
7/22/2019 EKG u 31 lekciji
9/32
9
8.
R
: I VF.1. R ( PQ ) ,
:
2.
R I , VF-, :
3. R I , VF-, :
I aVF
I aVF
I aVF
-
7/22/2019 EKG u 31 lekciji
10/32
10
9.
,
. VR- (" "). VR - .
I
aVR
-
7/22/2019 EKG u 31 lekciji
11/32
11
10.
- ?
. :
1. 2. 3. 4. Hiss-
? :
1.
2.
3. 4. Hiss-
-
7/22/2019 EKG u 31 lekciji
12/32
12
11.
QRS
. :
1.
R VL S V3 28 mm , 20 mm
R V5 V6 25 mm
2. :
R V1 7 mm
S V5 V6 7 mm
R I 2 mm
* 1 mm = 1
-
7/22/2019 EKG u 31 lekciji
13/32
13
12.
QRS
, (.
).
-
7/22/2019 EKG u 31 lekciji
14/32
14
13.
P
"P - " - P II III 2,5
"P - " - P I VL 2,5
-
7/22/2019 EKG u 31 lekciji
15/32
15
14.
PQ
PQ ( P Q ) 3
(. Wolf-Parkinson-White /WPW/ ), V
PQ 5 V (. V ). V .
-
7/22/2019 EKG u 31 lekciji
16/32
16
15.
PQ
V I - PQ 5
V II - 2 :
a) ( Mobic I)
PQ ,
P QRS . , .
-
7/22/2019 EKG u 31 lekciji
17/32
17
16.
) Mobic II
PQ , P QRS . . QRS .
V III - , P , QRS , .
-
7/22/2019 EKG u 31 lekciji
18/32
18
17.
QRS
QRS 2,5 Hiss- .
Hiss- :
-
7/22/2019 EKG u 31 lekciji
19/32
19
18.
:
- QRS 3 ()- - I V6 R :
:-
QRS 3 ()- S I V6 - V1 VR R
"" R
-
7/22/2019 EKG u 31 lekciji
20/32
20
19.
- QRS 2,5 3 - - II, III AVF S- I Q
!
IQ IIIS
- QRS 2,5 3
- - I S- III Q
!
IS IIIQ
-
7/22/2019 EKG u 31 lekciji
21/32
21
20.
Q
Q , Q (V1, V2,V3)
Q (. ).
> 1mm
-
7/22/2019 EKG u 31 lekciji
22/32
22
21.
S ( S )
S PQ () ()
2
"", . -
. - Q.
S
S
P
Q
RT
P
Q
R
T
-
7/22/2019 EKG u 31 lekciji
23/32
23
22.
S ( S )
S angina-epectoris, . , angina-e pectoris S .
S .
, S
.
S (, , , .).
-
7/22/2019 EKG u 31 lekciji
24/32
24
23.
S - - , Q . Q - .
- Q V1, V2, V3 V4.
- Q I VL
( : Lateralni Infarkt = VL + I )
-
7/22/2019 EKG u 31 lekciji
25/32
25
24.
- Q II, III VF
- R V1 V2- Q V6
-
7/22/2019 EKG u 31 lekciji
26/32
26
25.
Q
Q ( Q ) ( 8 ) .
Q ( 10 ) - I (, -, )
-
7/22/2019 EKG u 31 lekciji
27/32
27
26.
( 6 ) ( 5 ) .
:
VP V1.
( 6 ) ( 5 ) -.
-
7/22/2019 EKG u 31 lekciji
28/32
28
27.
P QRS -.
P - , QRS V . QRS .
P , QRS V . QRS .
-
7/22/2019 EKG u 31 lekciji
29/32
29
28.
- .
, :
( V ) - , P .
P , QRS , . - QRS :
- - (" "). - .
E
-
7/22/2019 EKG u 31 lekciji
30/32
30
29.
,
. - , . :
-
7/22/2019 EKG u 31 lekciji
31/32
31
30.
- : , S , PR QRS. P .
: U
( )
Q , .
-
7/22/2019 EKG u 31 lekciji
32/32
32
1. Bennet JC, Plum F. Cecil Texbook of Medicine. 20thed., WB Saunders Co,Philadelphia, 1996: pp. 2233.
2. Berkow R, Beers MH, Fletcher AJ. The Merck Manual of medical information.Home edition, Merck Research Laboratories, New York, 1997: pp1509.
3. British National Formulary. No 35, British Medical Association and RoyalPharmaceutical Society of Great Britain, London, 1998: 736 str.
4. Dubin D. Rapid interpretation of EKG's. 3rd ed., Cover Publishing Co, Tampa,Florida, 1974.
5. Hope RA, Longmore JM, Hodgetts TJ, Ramrakha PS. Oxford Handbook ofClinical Medicine. 3rded., Oxford University Press, Oxford, 1993: pp. 837.
6. Ramsey PG, Larson EB. Medical Therapeutics, 2nded., W.B. SaundersCompany, London, 1993: pp. 633.
7. Reynolds JEF. Martindale The Extra Pharmacopoeia. 30thed., ThePharmaceutical Press, London, 1993: pp. 2363.
8. Vrcelj S. Elektrokardiografski atlas. II izd., Medicinska knjiga, Beograd-Zagreb, 1982: 407 str.
top related