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异搏定治疗预激综合征(以下简称WPW)合并房颤,疗效报告不一,意见仍有分岐。本文报告治疗后病情加重1例,结合文献复习讨论。病例报告患者男,45岁,1963年曾有阵发性心动过述史。1980年7月4日准备早餐时,突感心慌、胸闷、头晕、乏力,即到附近医院就诊,经心电图证实WPW 合并房颤,静注利多卡因40mg+50%葡萄糖20ml 无效,转入我院。入院时体温36.5℃,呼吸25次/分,血压70/60mmHg,心率210次/分。心律绝对不整,脉搏短绌,但一般情况好,心电图报告A 型WPW 合并房
Verapamil in the treatment of WPW syndrome (hereinafter referred to as WPW) with atrial fibrillation, curative effect reported in different opinions are still divided. This article reports one case of exacerbation after treatment, combined with the literature review. Case report Male patients, 45 years old, had episodes of paroxysmal bradycardia in 1963. July 4, 1980 when preparing breakfast, suddenly felt palpitation, chest tightness, dizziness, fatigue, that is, to the nearby hospital, confirmed by WPW combined with atrial fibrillation, intravenous lidocaine 40mg + 50% glucose 20ml invalid, transferred to me hospital. Admission temperature 36.5 ℃, breathing 25 beats / min, blood pressure 70 / 60mmHg, heart rate 210 beats / min. Absolute heart rhythm, short pulse, but generally good, ECG report A WPW merger room