目前国内外已普遍采用静注 ATP 终止阵发性室上性心动过速(PSVT),我们最近遇1例静注 ATP 诱发气管痉挛,现报告如下。病历报告患者男,62岁。因反复发作性咳喘9年,加重1天,于1987年11月21日入院。查体:端坐位,两肺叩诊过清音,可闻散在哮鸣音及少许细湿罗音,心界不大,心率140次/分,律齐,未闻杂音,腹部及神经系统未发现异常。白细胞15×10~9/L,中性0.84,淋巴0.15,嗜酸0.01。胸片符合慢性支气管炎、肺气肿征象。心电图:窦性心动过速,107次/分。临床诊断:慢性支气管炎(喘息型急性发作期)、阻塞性肺气肿。入院后给予青霉素、地塞米松、氨茶硷等治疗,11月23日哮喘停止,两肺哮鸣音消失,病情好转。11月25日(入院第5天)上午9时,患者突觉心悸,急查心电图为:阵发性室上性心动过速185次/分。快速静注 ATP At present, intravenous infusion of ATP to terminate paroxysmal supraventricular tachycardia (PSVT) has been commonly used at home and abroad, we recently encountered a case of intravenous ATP induced tracheal spasm, are as follows. Patient male patient, 62 years old. Due to recurrent cough and wheezing for 9 years, increased 1 day, on November 21, 1987 admission. Physical examination: the end of sitting, two lungs percussion over the voiceless, can be heard scattered in the wheeze and a small amount of wet rales, heart, heart rate 140 beats / min, law Qi, no unheard noise, abdomen and nervous system found no abnormalities . Leukocytes 15 × 10 ~ 9 / L, neutral 0.84, lymphatic 0.15, 0.01 acidophilus. Chest radiograph consistent with chronic bronchitis, emphysema signs. ECG: sinus tachycardia, 107 beats / min. Clinical diagnosis: chronic bronchitis (wheezing acute attack), obstructive emphysema. After admission to give penicillin, dexamethasone, ammonia theophylline and other treatment, November 23 asthma stopped, two lung wheeze disappeared, the condition improved. November 25 (admission day 5) at 9 am, the patient suddenly felt palpitations, emergency ECG: paroxysmal supraventricular tachycardia 185 beats / min. Rapid intravenous injection of ATP