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患者男性,54岁。主诉:1985年9月8日午餐吞咽馒头时感心慌,脉搏数不清;但无晕厥。进食半流质(稀粥、面条)或流质饮食时无类似感觉。体检:发育正常,营养中等,BP120/80,P68次/分。心脏、心律规则,无器质性杂音,A_2亢进。胸透见两肺清晰,心影略向左下扩大,左前斜位,左心室与脊柱重叠;右前斜位左房不大。食道造影正常。为明确诱发心慌的原因,于1985年9月9日下午4时,先作12导联常规心电图及吞咽动作时心电图均无异常发现,随后令
Male patient, 54 years old. Complaint: September 8, 1985 when swallowed bread panic, pulse countless; but no syncope. Feeling similar to eating semi-liquid (gruel, noodles) or a liquid diet. Physical examination: normal development, moderate nutrition, BP120 / 80, P68 beats / min. Heart, heart rhythm rules, no organic noise, A_2 hyperthyroidism. Chest radiography to see the two lungs clear, slightly expanded to the left heart, left anterior oblique, left ventricle and spine overlap; right anterior oblique left room is not large. Esophageal normal. In order to clarify the cause of palpitation, on September 9, 1985 at 4 pm, the first 12-lead routine ECG and swallowing ECG were abnormal findings, then