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患者,男,32岁,歼教-5飞行副大队长。1993年5月27日飞行前“一问三查”时自诉心前区不适、胸闷。测体温36.6℃,血压为14.6/9.0 kPa(110/70mmHg),脉搏62次/min,搏动不规律,约每分钟漏跳10次。立即查心电图,示Ⅱ度房室传导阻滞(文氏现象)。当即取消飞行任务,送院检查。 体会:①患者既往身体好,从无心悸,心前区不适感病史,医生对此种病人容易产生麻痹心理。②老飞行员,一般飞行耐力较强,对一些能耐受的身体不适常不
Patient, male, 32 years old, F-5 flight deputy captain. May 27, 1993 flight before the “one asked three checks” when the complaint area heart discomfort, chest tightness. Measured body temperature of 36.6 ℃, blood pressure of 14.6 / 9.0 kPa (110 / 70mmHg), pulse 62 beats / min, irregular beats, missed jumps about 10 times per minute. Check immediately ECG, showed Ⅱ degree atrioventricular block (Wen’s phenomenon). Immediately cancel the flight mission, hospital inspection. Experience: ① the patient’s past good health, no heart palpitations, precordial discomfort history, the doctor prone to such patients prone to paralysis. ② old pilots, the general flight stamina stronger, for some body can not tolerate not often