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患者男性.51岁.突发心悸、胸闷4小时入院.有预激综合征阵发性室上性心动过速病史10余年.门诊心电图示A型预激综合征、室上性心动过速.否认既往消化道病史.体检:T36.4℃,P205次/分,R21次/分,BP10/6kPa,颈静脉无怒张,心界无扩大,两肺未闻罗音.心音低钝,津齐.心率205次/分.无杂音闻及.心电监护示室上性心动过速,室率209次/分,ST段呈水平型压低达0.3mV.静注异搏定3.75mg时,转为窦性心律.心电图示A型预激综合征,心率90次/分,原监护导联ST段恢复至等电位线.继后患者出现恶心、呕吐、吐出咖啡色液体及胃内容物共100Oml左右,按应激性胃粘膜病变出血予凝血酶、西咪替丁、
Patients with male .51 years old .Total heart palpitations, chest tightness, 4 hours admitted to hospital .Woman’s syndromeWith more than 10 years history of paroxysmal supraventricular tachycardia .Outpatient ECG shows type A WPW syndrome, supraventricular tachycardia. Denied the history of previous gastrointestinal. Physical examination: T36.4 ℃, P205 beats / min, R21 beats / min, BP10 / 6kPa, jugular vein without rage, no expansion of the heart, lungs did not hear rales. Qi. Heart rate 205 beats / min. No noise smell and ECG monitoring showed supraventricular tachycardia, room rate 209 beats / min, ST-segment horizontal pressure down to 0.3mV intravenous verapamil 3.75mg, turn For the sinus rhythm.Electrocardiogram shows type A pre-excitation syndrome, heart rate 90 beats / min, ST segment of the original monitoring lead back to the equipotential line.After the patient nausea, vomiting, spit out brown liquid and stomach contents of about 100Oml , According to stress gastric mucosal hemorrhage to thrombin, cimetidine,