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1 病例介绍 患者 女,50岁,主因间断心悸20年,加重伴憋气10天于1999年12月18日来我院就诊。于入院前20年无明显诱因感心悸,休息后自行缓解,未进行系统诊治。入院前10天突感不适,随之意识丧失而摔倒在地,数秒钟后意识恢复急送医院。既往无类似症状发作史。心电图显示Ⅲ度房—室传导阻滞(Ⅲ度A-VB),心室率40次/分。给予异丙肾上腺素0.5μg/分静脉点滴维持,为进一步诊治收入院。体检:血压(Bp)120/60 mmHg(16/8 kPa)。神清,脉搏60次/分,体温36.2℃,颈静脉无怒张。双肺呼吸音清,心率(HR)60次份,律齐,心音有力,各瓣膜未闻及病理性杂音。心右
1 case description Female patient, 50 years old, mainly due to intermittent palpitations 20 years, increased with suffocation for 10 days in December 18, 1999 to our hospital. 20 years before admission, no obvious incentive to feel heart palpitations, relieve themselves after a break, no systematic diagnosis and treatment. 10 days before admission sudden disquiet, followed by loss of consciousness and fell to the ground, a few seconds after the consciousness of emergency recovery to the hospital. No previous history of similar symptoms. ECG showed Ⅲ degree room-room block (Ⅲ degree A-VB), ventricular rate 40 beats / min. Give isoproterenol 0.5μg / min intravenous maintenance, for further diagnosis and treatment of hospital income. Physical examination: Blood pressure (Bp) 120/60 mmHg (16/8 kPa). Clear, pulse 60 beats / min, body temperature 36.2 ℃, jugular vein without anger. Respiratory sound clear lungs, heart rate (HR) 60 times, law Qi, powerful heart sounds, the valve is not known and pathological murmur. Right heart