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患者 男性,32岁,技术干部。因反复头昏5年余,晕厥发作多次于1994年8月就诊。患者1989年1月起出现头昏,无头痛或恶心呕吐,无视物旋转,无发热或抽搐。晕厥发作前无先兆,每次发作持续数秒至数分钟,无跌伤,醒后无记忆。晕厥过程有无抽搐等不详。晕厥有时发作于排尿前,有时发作于骑自行车过程中而突然倒下,颇似癫痫失神小发作。曾多次作脑电图(EEG),未见癫痫放电等异常;病初曾出现全身皮肤红色粟粒状瘙痒性皮疹,服中药等后消退;多发性关节肿痛及皮下结节,曾误诊为“风湿性关节炎”;心悸、胸闷持续存在,无气
Male patient, 32 years old, technical cadre. Due to repeated dizziness more than 5 years, syncope episode many times in August 1994 treatment. Patients began to dizziness in January 1989, without headache or nausea, vomiting, ignoring the object rotation, no fever or convulsions. Syncope before onset without aura, each episode lasts for a few seconds to several minutes, no fall injury, wake up without memory. Presence of convulsions, convulsions and other unknown. Syncope sometimes attack in the urination before, sometimes attack in the process of riding a sudden fall, it is like a small epileptic seizures. EEG had repeatedly, no epileptic discharge and other abnormalities; the beginning of the disease had systemic red miliary pruritus rash, serving Chinese medicine subsided; multiple joint pain and subcutaneous nodules, had misdiagnosed as “Rheumatoid arthritis”; palpitations, chest tightness persists, no gas