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甲状腺机能亢进并发Ⅲ度房室传导阻滞较为少见。本文报告3例均为青年女性,年龄21～36岁,其中2例有甲亢病史,现报告如下。 1.病例报告 例1,女,27岁,患者因突然昏厥收治。8年前出现纳亢、心悸、怕热、多汗、消瘦,诊断为甲亢,间断性服用他巴唑,心得安甲亢未控制,这次昏厥时突然出现两眼上翻,四肢抽搐,持续2～3分钟,体检:BP 16/10kPa,两眼突出,甲状腺Ⅱ度肿大,质中偏硬,触及震颤,听到血管杂音,两手抖动,心率46次/分,律不齐,心音低钝;心电图示心房率112次/分,心室率46次/分,P波与QRS
Hyperthyroidism complicated by Ⅲ degree atrioventricular block is relatively rare. Three cases reported in this paper are young women, aged 21 to 36 years, of which 2 cases have a history of hyperthyroidism, are as follows. Case report 1, female, 27 years old, patients were admitted for sudden fainting. 8 years ago, there was nakhtosis, palpitations, febrile, hyperhidrosis, weight loss, diagnosed as hyperthyroidism, intermittent taking methimazole, Ankang uncontrolled, the sudden onset of this fainting eyes upturned, limbs convulsions, sustained 2 ~ 3 minutes, physical examination: BP 16 / 10kPa, prominent eyes, thyroid Ⅱ degree enlargement, the quality of the more rigid touch tremor, hear vascular murmur, two hands shaking, heart rate 46 beats / min, irregular arrhythmia, low heart sound ; ECG showed atrial rate 112 beats / min, ventricular rate 46 beats / min, P wave and QRS