患者男性,46岁。有发作性心动过速史20年,本次发作持续35分钟就诊。以往检查血酯、血糖、超声心动图和心肺X线均无异常。入院后体检仅发现患者精神紧张,心率快。心电图描记为阵发性室上性心动过速(193次/分)。遂在心电监护下拳击心前区,即刻转为窦性心律。持续约8秒钟后突发短阵室速,未经处理自然终止(附图)。 Male patient, 46 years old. Have a history of tachycardia in 20 years, the episode lasts 35 minutes treatment. Past examination of blood ester, blood glucose, echocardiography and cardiopulmonary X-ray were normal. Physical examination found only patients with mental stress, fast heart rate after admission. ECG was recorded as paroxysmal supraventricular tachycardia (193 beats / min). Then in the ECG under the guardian of the boxing area, immediately converted to sinus rhythm. Continued about 8 seconds after the sudden onset of VT, the natural termination of untreated (with photos).