心律失常-朱文青-复旦大学附属中山医院教案.docVIP

复旦大学附属中山医院教案 临床医学专业2004级八年制《内科学》教案 姓 名 朱文青 业务职称 教授 聘任授课职位 授课教授 教授科目 心律失常 学时数 3 授课班级 临床医学专业2004级八年制(1)(2)班 授课日期 2007.10.15-17 一、教学大纲：教学目的和教学内容（掌握、熟悉、了解的具体内容） Objectives: 1. Grasp the etiology, clinical presentation, diagnosis and management of common arrhythmias 2. Be familiar with ECG features and diagnosis of common arrhythmias 3. Understand the mechanism of common arrhythmias Contents: overview of cardiac conduction system, sinus arrhythmias, atrial arrhythmias, ventricular arrhythmias 二、执行方案 （一）内容及时间分配 Contents: 1. Overview: classification of arrhythmias, disorders of impulse formation, abnormalities of impulse conduction 2. sinus arrhythmias, sick sinus node syndrome 3. atrial arrhythmias, atrial tachycardia, atrial flutter, atrial fibrillation, clinical presentation 4. atrioventricular junctional arrhythmia, paroxysmal supraventricular tachycardia, preexitation syndrome 5. ventricular arrhythmias: ventricular premature beats, ventricular tachycardia, ventricular flutter, ventricular fibrillation 6. atrioventricular conduction block 7. bradyarrhythmias （二）重点和难点 Key points: 1. ECG differential diagnosis, management and clinical presentation of common arrhythmias: atrial flutter, atrial Fibrillation, Paroxysmal supraventricular tachycardia, Ventricular Premature Beats 2. ECG features and differential diagnosis, clinical presentation and emergent management and of life-threatening arrhythmias: sinus asystole, ventricular tachycardia, ventricular flutter, ventricular fibrillation （三）中文和英文关键词 心律失常 arrhythmia 心脏传导系统解剖 sinus node, atrioventricular node 房性心律失常 atrial fibrillation, atrial tachycardia 室性心律失常 ventricular premature beat 房室传导阻滞 atrioventricular conduction block （四）复习和思考题 multiple choice 1. The ECG manifestations of Ⅲ°AVB A. complete dissociation of P waves and QRS complexes B. narrow QRS complexes C. ventricular rates of 40 to 60 bpm D. ventricular rates of 20 to 30 bpm E. wide QRS comp