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例1,男,65岁。主因阵发性心悸、胸闷3年,发作1h急诊入院。查体:血压16/10.7kPa,呼吸22次/min,心率200次/rain,心律不齐,各辦膜听诊区未闻杂音,腹软、肝脾未触及。心电图示预激综合征合并心房纤颤,心室率200次/min,经刺激咽喉、压迫颈动脉窦等刺激迷走神经的方法无效,在心电监护下静脉注射心律
Example 1, male, 65 years old. Main due to paroxysmal palpitations, chest tightness for 3 years, 1 h emergency episodes of admission. Physical examination: blood pressure 16 / 10.7kPa, breathing 22 beats / min, heart rate 200 beats / min, arrhythmia, the film auscultation area unheard noise, abdomen soft, liver and spleen not touched. ECG shows WPW syndrome associated with atrial fibrillation, ventricular rate 200 beats / min, the stimulation of the throat, oppression of the carotid sinus and other vagus nerve stimulation method is invalid, intravenous administration of ECG in the heart rhythm