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预激症候群系在房室间存在异常副传导通路,从而发作严重心律紊乱产生严重临床过程。自1968年Durrer 开始有报导手术切断此异常房室传导通路可治愈本症。日本施行此种治疗系自1973年开始。国内尚未见报导材料。我院心血管组于1978年5月15日为一例B型预激症候群合并第二孔型大房缺手术切断异常房室副传导通路肯特氏束取得成功。病例报告: 张×云,女,20岁,住院号61—009598,因突然发作心悸晕倒并伴有心前区剧痛,阵发心动过速5小时于1961年12月14日急诊第一次入院。血压70/50mmHg听诊肺瓣区Sm,P_2亢宽分裂,心电图RRO.22秒心率272/分,QRS呈完全性左束支传导阻滞图形。住院前5年常有同样发作历1～3日可自愈,每次发作均因心跳太快心前区剧痛而晕倒,伴有冷汗休克。X线摄片心脏后前位右心房极度增大肺充血重,肺动脉于搏动强烈全心脏呈离心性右心容量负荷,心电图电轴左偏,心导管检查;以Fick’S计算,左→右分流7.5％。
Premenstrual syndrome in the Department of anomalies in the presence of ancillary conduction pathway, resulting in severe arrhythmia attacks have a serious clinical course. Durrer has reported since 1968 that surgery to cut off this abnormal AV chamber pathway can cure this disease. Japan has implemented this treatment since 1973. There is no domestic report material. May 15, 1978 in our hospital cardiovascular group as a case of type B pre-shock syndrome combined with the second hole of the atrial septal defect cut off anomalous atrioventricular accessory pathway Kentley’s success. Case Report: Zhang × cloud, female, 20 years old, hospital number 61-009598, due to sudden onset of palpitations fainting and accompanied by acute precordial pain, paroxysmal tachycardia 5 hours in December 14, 1961 emergency first time Admission. Blood pressure 70 / 50mmHg auscultation lung valve area Sm, P 2 hypertrophic wide divisions, ECG RRO.22 seconds heart rate 272 / min, QRS was complete left bundle branch block pattern. 5 years before the hospital often have the same episode Calendar from 1 to 3 can be self-healing, each episode due to heartbeat heart area pain and fainting, accompanied by cold sweat shock. X-ray film after the anterior chamber right atrium extreme increase in pulmonary congestion, pulmonary artery beat strongly in the whole heart was centrifuged right heart volume load, ECG left axis deviation, cardiac catheterization; to Fick’S calculation, left → right shunt 7.5 %.