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周××,男性,37岁。午睡起床排尿后突然意识丧失,晕倒,约半分钟后清醒。醒后感头昏、胸闷、心慌、无力,于1977年5月13日13时20分急诊入院。患者既往无心悸、气促史。近三个月来学习较紧张,睡眠不足。体检:T36.4℃,脉搏80次/次,律不齐,Bp:130/80,面色苍白,左眉弓处有2×2cm 大小擦伤,颈软,甲状腺不肿大,双肺正常,心界不大,心音强弱不等,律不齐,心率96次/分,无杂音,肝脾不大。尿、便常规正常。血清钾4.1mEq/L,血清钙4.5mEq/L。心电图诊断为心房纤颤,室率96次/分.住院后缓慢静注西地兰0.4mg,共两次,
Week × ×, male, 37 years old. Suddenly wake up after a nap to lose consciousness, fainted, awake about half a minute later. Awake after feeling dizzy, chest tightness, palpitation, weakness, at 13:20 on May 13, 1977 emergency admission. No previous patients with heart palpitations, history of shortness of breath. Nearly three months to study more nervous, lack of sleep. Physical examination: T36.4 ℃, pulse 80 beats / time, irregular arrhythmia, Bp: 130/80, pale, left eyebrow 2 × 2cm size of the Department of abrasions, neck soft, thyroid enlargement, normal lungs, Heart is not, heart sound intensity range, irregular, heart rate 96 beats / min, no noise, small liver and spleen. Urine, it is normal. Serum potassium 4.1mEq / L, serum calcium 4.5mEq / L. ECG diagnosis of atrial fibrillation, room rate 96 beats / min after hospitalization, cedilanid 0.4mg intravenously, a total of two times,