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交界性并行心律和四相性束支传导阻滞少见,两者并发国内还未见报道。现将我们所遇一例报告如下。 临床资料 患者男性,19岁,住院号39466。因咽痛一周于1985年7月5日入院。有慢性扁桃体炎史。T36.2℃,BP120/80mmHg,双侧扁桃体Ⅱ。肿大,咽部充血,心率平均62次/分,偶发早搏,心界不大,无明显杂音,两肺呼吸音正常。血常规、抗“0”、血沉均正常,胸片心肺无异常,心电图检查见附图。临床诊断:慢性扁桃体炎,心肌炎后遗症。
Borderline parallel heart rate and four-phase bundle branch block rare, the two concurrent domestic yet to be reported. Now we encounter a report as follows. Clinical data Male patient, 19 years old, hospital number 39466. One week due to sore throat in July 5, 1985 admission. A history of chronic tonsillitis. T36.2 ℃, BP120 / 80mmHg, bilateral tonsils Ⅱ. Swollen, throat congestion, the average heart rate 62 beats / min, occasional premature beats, little heart, no obvious noise, normal lung breath sounds. Blood, anti “0”, erythrocyte sedimentation rate are normal, chest and heart no abnormal cardiopulmonary, ECG see the attached map. Clinical diagnosis: chronic tonsillitis, myocarditis sequelae.