房室传导阻滞合并束支或分支阻滞者罕见,作者遇见1例完全性房室传导阻滞合并交替性束支阻滞伴文氏现象,报告于下。男,51岁,因心跳缓慢伴持续性胸闷,短暂意识丧失1天,于1983年3月12日入院。体检:神萎,肥胖体质,面色灰暗,肢端冷,可平卧,咽部充血,血压50/30毫米汞柱,心率24次/分,心音低钝,可闻炮音,两肺下部可闻湿鸣,肝脾未触及,下肢不肿,嗜酸粒细胞计数0个,血沉23毫米/小时,GOT225单位、LDH537单位、CKP38.5单位。胸片心脏不 Atrioventricular block combined bundle branch or branch block were rare, the authors met a case of complete atrioventricular block with alternating bundle branch block with Wen’s phenomenon, reported in the next. Male, 51 years old, was admitted to hospital on March 12, 1983 due to a slow heartbeat with persistent chest distress and a brief loss of consciousness for one day. Physical examination: Aphrodisiac, obesity, dark complexion, limb cold, can be lying, pharyngeal congestion, blood pressure 50/30 mm Hg, heart rate 24 beats / min, heart sound low blunt, Smell dampness, liver and spleen not touched, lower extremity is not swollen, eosinophil count 0, erythrocyte sedimentation rate 23 mm / h, GOT225 units, LDH537 units, CKP38.5 units. Chest piece heart not