拳击心前区终止阵发性室上性心动过速(下简称室上速),国内报导不多,现将我们遇到的一例报告如下: 患者男 48岁住院号 1551 发作性心慌,胸闷20多小时,于1983年3月4日入院。十年来,因发作性心慌,多次在院内、外作心电图检查诊断为室上速。体格检查除左心缘略向左下扩大外,余未见异常。化验、眼底检查均在正常范围内,胸透左四弓略延长,心电图示室上速。于住院第七天,患者突感心慌、胸闷,心率180,血压110/70,心电图示室上速。历时五小时反复交替压迫双侧眼球及颈动脉窦,静注西地兰0.4mg共三次,均未终止其发作。病人极度烦燥,痛苦难忍,遂拳击心前区二次,症状当即消失。床边心电图示窦性心律,心率:80。 Boxing anterior paroxysmal supraventricular tachycardia termination (referred to as supraventricular tachycardia), few domestic reports, now we encounter a case report is as follows: Patient Male 48 years old Hospitalization 1551 Paroxysmal palpitation, chest tightness 20 Many hours, on March 4, 1983 admission. Ten years, due to episodes of palpitation, many times in the hospital, foreign electrocardiogram diagnosis of supraventricular tachycardia. Physical examination in addition to the left heart margin slightly expanded to the left, I no abnormalities. Laboratory tests, fundus examination are within the normal range, slightly longer chest X-ray bow, electrocardiogram showed supraventricular tachycardia. On the seventh day of hospitalization, the patient suddenly felt palpitation, chest tightness, heart rate 180, blood pressure 110/70, ECG showed supraventricular tachycardia. Five hours repeated alternating oppression of both eyes and carotid sinus, intravenous injection of cedilamine 0.4mg three times, did not terminate its attack. Extremely irritable patient, pain unbearable, then boxing precordial area two times, the symptoms disappear immediately. Bedside ECG sinus rhythm, heart rate: 80.