论文部分内容阅读
患者男性,15岁,因胸闷6d就诊,否认既往心脏病病史。心电图示窦性心律不齐,心室预激图形。体检:体温37.4℃,血压130/81mmHg,呼吸20次/min。叩诊心界正常,听诊心率71次/min,心律尚齐,各瓣膜听诊区未闻及病理性杂音。超声心动描记术、X线胸片正位片、心肌酶谱未见明显异常。24h动态心电图示窦性心律,心室预激图形,双源房性期前收缩610次,室性期前收缩1次;于21:26及21:27分别可见4.75s、4.55s两次长P-P间期,提示一过性窦性停搏、全心停搏(图1)。
Male patient, 15 years old, due to chest tightness 6d visit, denied a history of previous heart disease. ECG showed sinus arrhythmia, ventricular pre-excitation graphics. Physical examination: body temperature 37.4 ℃, blood pressure 130 / 81mmHg, breathing 20 times / min. Percussion heart normal, auscultation heart rate 71 beats / min, heart rate is still Qi, the valve auscultation area did not hear and pathological murmur. Echocardiography, X-ray chest anteroposterior slices, myocardial enzymes showed no significant abnormalities. 24h dynamic ECG showed sinus rhythm, pre-excitation ventricular pattern, dual atrial contraction of 610 times before, ventricular contraction before 1; at 21:26 and 21:27 were seen 4.75s, 4.55s two long PP Interphase, suggesting a sinus arrest, cardiac arrest (Figure 1).