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患者男性,39岁。心慌、气短、反复晕厥10月于1984年12月3日入院。无胸疼史。体检:T36℃,BP140/80,心界向左下扩大,心律齐,心率44次/分,心前区可闻及大炮音。心电图示高度房室传导阻滞。临床诊断:充血性心肌病。12月28日安装美国28型VVI埋藏式起搏器。术后行连续心电监测。最初3天无心室夺获,第4天心脏传导情况意外改善,反复出现心室夺获,5小时后未再出现。
Male patient, 39 years old. Palpitation, shortness of breath, repeated fainting in October on December 3, 1984 admission. No history of chest pain. Physical examination: T36 ℃, BP140 / 80, heart to the left to expand, heart rate Qi, heart rate 44 beats / min, precordial area can be heard and cannon sound. ECG shows a high degree of atrioventricular block. Clinical diagnosis: congestive cardiomyopathy. December 28 to install the United States 28 VVI buried pacemaker. Postoperative continuous ECG monitoring. The first 3 days no ventricular seizure, the first 4 days of cardiac conduction accidental improvement, recurrent ventricular seizures, 5 hours after no recurrence.