病例摘要例1 男,52岁。因持续心悸、头晕、乏力、胸闷10天入院。既往患急性心肌梗塞和室上性心动过速。查体:心率140次/分,血压15.4/9.5kPa,双肺底少许湿罗音,心界向两侧扩大,心尖部可闻二级收缩期杂音,肝脾(-)肝肾功能及电解质及常规血检验正常。心电图示交界性心动过速,陈旧性侧壁心肌梗塞。X线胸片心界向两侧扩大,诊断为冠心病、陈旧性侧壁心肌梗塞,室上性心动过速。经用异搏 Case Summary 1 male, 52 years old. Due to persistent palpitations, dizziness, fatigue, chest tightness 10 days admission. Previously suffering from acute myocardial infarction and supraventricular tachycardia. Physical examination: heart rate 140 beats / min, blood pressure 15.4 / 9.5kPa, a little wet rales at the end of both lungs, the heart to both sides of the enlarged apical symphysis can be heard second systolic murmur liver and spleen (-) liver and kidney function and electrolyte And routine blood test is normal. ECG showed borderline tachycardia, old side wall myocardial infarction. X-ray chest to expand both sides of the heart, diagnosed as coronary heart disease, old side wall myocardial infarction, supraventricular tachycardia. With different stroke