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例1 患者男性,40岁。因活动后心慌、气短2年于1989年7月9日入院。既往有多次心动过速发作史。近半年反复出现夜间阵发性呼吸困难。体检:心尖区第一心音亢进,闻及开瓣音,心尖区雷鸣样舒张期杂音。超声心动图示风湿性心脏病、二尖瓣狭窄。心电图示窦性心律,B型预激综合征。入院后,在气管插管、静脉复合全麻下行左径二尖瓣闭式分离术。术中指探瓣口1.5cm,经扩张器扩张为3.2cm。术后数次发作房颤,并诱发急性左心衰竭,经用乙胺碘呋酮、普鲁卡因酰胺及西地兰,转复为窦性心律,心衰纠正。病情稳定后出院。后多次来院复查,心动过速发作明显减少。
Example 1 patient male, 40 years old. After the event because of palpitation, shortness of breath 2 years in July 9, 1989 admission. Past history of multiple tachycardia. In the past six months, intermittent nocturnal paroxysmal dyspnea. Physical examination: apex area of the first heart sound hyperthyroidism, smell and open flap sound, apical zone thunder-like diastolic murmur. Echocardiography shows rheumatic heart disease, mitral stenosis. ECG shows sinus rhythm, B-type pre-excitation syndrome. After admission, tracheal intubation, intravenous combined anesthesia left mitral valve closure surgery. Surgery refers to the probe port 1.5cm, dilatation by the dilatation of 3.2cm. After several episodes of atrial fibrillation, and induced acute left heart failure, with amiodarone, procainamide and cedilanid, turn to sinus rhythm, heart failure correction. After a stable condition was discharged. After repeated hospital visits, tachycardia episodes significantly reduced.