简介:BackgroundRightbundlebranchblock(RBBB)maypresentasslurredornotchedSwaveinleadV1.However,slurredornotchedSwavemayalsorepresentslowconductioninthemyocardium.MethodsWeretrospectivelyanalyzedtheQRSpatternsinleadsV3RtoV5Rin7patientswithaslurredornotchedSwaveinleadV1.ResultsIntheleadsV3RtoV5R,6patientsshowedincompleteorcompleteRBBBand1patientslurredornotchedSwave.ConclusionsInthemajorityofECGsinasmallpatientserieswithslurredornotchedSwaveinleadV1,QRSmorphologyindicatingincompleteorcompleteRBBBwaspresentinleadsV3RtoV5R.AfindingoffragmentedQRSintheseleadsmayindicateslowconductioninthemyocardium.
简介:<正>Abhayakaragupta(ca.11-12thcentury)wasanoutstandingIndianpanditawhosethoughtstronglyimpactedTibetanBuddhism.Heiswidelyknownfromanumberofhiscompositions.Amongthetwenty-oneworksattributedtohimbytheDergeTanjur,nineteenareallocatedtotheTantrasection,onetothePrajfiaparamitasection,andtwototheMadhyamakasection.Ofthese,theMunimatalarfikara,intheMadhyamakasection,isoneofhismostimportant.TheMunimatalarfikaraissometimesregardedbyTibetanBuddhists,e.g.,Tsong
简介:摘要目的探讨植入性胎盘患者的处理方法。方法回顾性分析本院2007-2012年治疗的30例胎盘植入病例,其中25例为剖宫产,1例因完全性植入胎盘行子宫切除术,余均行胎盘植入处局部挖除缝合,其中8例因胎盘植入面近1/2加用MTX局部多点注射,5例经阴道分娩,一例完全性植入胎盘行子宫切除术(该患者系外院足月产后胎盘滞留,徒产剥离且试行钳夹失败,阴道出血多,转入我院)余4例人工剥离胎盘,对残留部分在超声引导下局部多点注射MTX。结果患者未出现难以控制的产后方血,无生命危险,新生儿均存活。结论保守治疗对胎盘植入是可行的,但完全性胎盘植入且植入程度深达肌层或浆膜层伴活动性出血应果断行子宫切除术。