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患者女性,37岁、已婚,浙江平湖人,印刷厂工人。因咽喉不适、头痛、胸闷三天,散步时突然头晕、面色苍白、昏厥在地,被人送当地医院就诊,检查发现心律失常,但未作心电图,给予阿托品等药物治疗,症状缓解回家。翌晨又感头痛不适,再去该医院急诊。检查当时血压130/74mmHg,心电图示心率68次/分,心律失常为多源性频发室性早搏、短阵室颤。给予地塞米松10毫克、辅酶A100单位、三磷酸腺甙40毫克、10％葡萄糖滴注。拟诊“病毒性心肌炎”转来我院诊治。经急症室检查发现心律失常,呈早搏二联律,采用利多卡因、低分子右旋糖酐、丹参等处理后,于当天下午二时三十分收入病房。 过去无慢性咳嗽、心悸、气急和浮肿等病史。九年前曾有昏厥抽搐发作,神志不清二分钟,苏醒后感到手麻。有血吸虫疫水接触史。父亲患精神病、已故。母亲有“中风”史。生育一女现已九岁,生长发育良好。
Female patient, 37 years old, married, Zhejiang Pinghu, printing workers. Due to throat discomfort, headache, chest tightness for three days, walking suddenly dizzy, pale, fainting in the ground, was sent to a local hospital for treatment, examination revealed arrhythmia, but not for electrocardiogram, given atropine and other drug treatment, relieve symptoms home. The next morning and a sense of headache, go to the hospital emergency room. Blood pressure was checked at 130 / 74mmHg, ECG heart rate 68 beats / min, arrhythmias for multi-source frequent premature ventricular contractions, paroxysmal ventricular fibrillation. Give dexamethasone 10 mg, coenzyme A100 units, adenosine triphosphate 40 mg, 10% glucose instillation. The proposed diagnosis of “viral myocarditis” came to our hospital for diagnosis and treatment. Acute arrhythmia examination revealed arrhythmia, premature beats couplet law, the use of lidocaine, low molecular weight dextran, Salvia treatment, at 2.30 pm that day income Ward. No past chronic cough, heart palpitations, shortness of breath and edema and other medical history. Nine years ago, fainting convulsions seizures, confusion for two minutes, wake up feel numb. Have schistosomiasis water contact history. My father is mentally ill, late. Mother has a history of “stroke.” A female child is now nine years old and grows well.