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排尿性晕厥并发心房颤动早有报道。本文报告一例男性患者,三次排尿性晕厥发作,均伴有心房颤动,历时1～2天后,自行转为窦性心律。病例介绍:男患,28岁,建筑工。饮酒后午夜起来排尿时突然晕厥,前额部擦伤,于1990年6月8日首次入我院门诊。查体发现心率约80次/分,心律不规则,心音强弱不等,无杂音,余正常。心电图为心房颤动。二维超声心动图检查示各房室径正常范围,瓣膜活动正常,当时未作处理。作24小时动态心电图记录,结果显示起初3小时左右为心房颤动,蹬楼活动后即转为窦性心律。1991年4月患者在饮酒午睡后排尿时再次晕厥,被他人发现,立即送当地医院。体检发现心律不齐,心电图检查为心房颤动,室率约80次/分。未作特殊处理。次日到我院门诊复查心电图已转为窦性心律。1991年9月,患者
Urinary syncope with atrial fibrillation has long been reported. This article reports a male patient, three episodes of urinary syncope, are associated with atrial fibrillation, which lasted 1 to 2 days, converted to sinus rhythm. Case description: male suffering, 28 years old, construction workers. Drinking alcohol after midnight suddenly urination urinary syncope, forehead bruises, in June 8, 1990 for the first time into our hospital. Physical examination found that the heart rate of about 80 beats / min, irregular heartbeat, heart sound intensity range, no noise, more than normal. ECG for atrial fibrillation. Two-dimensional echocardiography showed a normal range of atrioventricular valves, valve activity was normal, did not make treatment. For 24-hour Holter record, the results showed that initially about 3 hours for atrial fibrillation, after the turn of the floor activities into sinus rhythm. In April 1991, the patient once again fainted while urinating after drinking alcohol, and was found by others and immediately sent to a local hospital. Physical examination found arrhythmia, ECG examination of atrial fibrillation, room rate of about 80 beats / min. No special treatment. The next day to our hospital for review electrocardiogram has been converted to sinus rhythm. September 1991, patient