论文部分内容阅读
病例:男,65岁。因心慌、胸闷2月余,伴晕厥反复发作入院.入院查体:T37℃,血压20/9kPa,甲状腺不大,心率100次/分,偶有早搏,未闻及杂音。心电图示窦性心动过速,室性早搏,心肌缺血。心脏 B 超示主动脉硬化.入院后按冠心病治疗无效,仍反复出现心慌及短阵晕厥,心电图监测为快速的心房纤颤(下称房颤)伴间歇性停搏(下称窦停),时间为5秒。房颤时心室率达168次/分,予以异搏定40mg 口服,服药后3小时晕
Case: Male, 65 years old. Due to palpitation, chest tightness, more than 2 months, with syncope episodes admitted .Investigation of admission: T37 ℃, blood pressure 20 / 9kPa, thyroid, heart rate 100 beats / min, occasional premature beats, no smell and noise. ECG shows sinus tachycardia, ventricular premature beats, myocardial ischemia. Cardiac B ultrasound showed aortic sclerosis.After admission by coronary heart disease treatment is invalid, there are still repeated palpitation and short-sighted syncope, ECG monitoring for rapid atrial fibrillation (hereinafter referred to as atrial fibrillation) with intermittent arrest (referred to as sinus arrest) , The time is 5 seconds. Ventricular rate of atrial fibrillation up to 168 beats / min, given verapamil 40mg orally, 3 hours after taking halo