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患男,35岁,因心慌气短2d、反复晕厥2h于1991年4月30日入院。2d前发冷,头昏乏力,流涕、咳嗽。次日心慌气短、胸闷。入院前2h突然晕倒,抽搐约10min自行苏醒,后反复发作4次,急送我院。ECG示:逸搏性节律,完全性房室传导阻滞(Ⅲ°AVB)。心室率28次/min。既往健康。查体:T35.8℃,R28次/min,P摸不清,BP8/4kPa,发育营养一般,平卧位,暂短意识不清,面色苍白,唇发绀,咽不充血,扁桃体不大。颈软,甲状腺不大,颈静脉无怒张。两肺无罗音,心界不大,心率28次/min,律齐,各瓣膜区无杂音,心音低饨,肝脾不大,下肢无水
Male, 35 years old, because of palpitation shortness of breath 2d, repeated syncope 2h on April 30, 1991 admitted. 2d before chills, dizziness, fatigue, runny nose, cough. The next day palpitation shortness of breath, chest tightness. Suddenly fainted 2h before admission, convulsions about 10min self-waking, after repeated attacks 4 times, emergency hospital. ECG showed: escape pacing, complete atrioventricular block (Ⅲ ° AVB). Ventricular rate 28 beats / min. Past health. Physical examination: T35.8 ℃, R28 times / min, P puzzled, BP8 / 4kPa, general nutrition, supine position, short unconscious, pale, lips cyanosis, pharynx is not congestive, tonsil not. Neck soft, small thyroid, jugular vein without tension. No lungs sound lungs, heart is not big, heart rate 28 times / min, law Qi, the valve area without noise, heart sound low-lying, liver and spleen is not large, lower extremity water