持续性房性心动过速是一种较少见的心律失常。我们于1978年2月曾遇一例心肌炎患者,其所发的房性心动过速持续2年不消失。鉴于国内文献未见类似报道,特介绍如下。吴×,男,39岁,因心悸持续半月于1978年2月27日入院。患者于入院前一个月曾有鼻塞、咽痛和咳嗽,经对症治疗后痊愈。半个月后,又因突然心悸、胸闷和气急住当地县医院。当时检查:心率180次/分,规则。心电图描记示阵发性房性心动过速。曾静脉推注西地兰及每日静滴氢化可的松200毫克和口服异搏定120毫克,治疗10天,心动过速未终止,心室率持续为160次/分,遂转入我院。入院时检查:神清,平卧,无气急和紫绀,血压100/ Persistent atrial tachycardia is a rare arrhythmia. In February 1978, we encountered a case of myocarditis patients, the onset of atrial tachycardia did not disappear for 2 years. In view of domestic literature no similar reports, special introduction is as follows. Wu ×, male, 39 years old, was admitted to hospital on February 27, 1978 for palpitations lasting half a month. One month before admission, patients had nasal congestion, sore throat and cough, and were cured after symptomatic treatment. Half a month later, due to sudden heart palpitations, chest tightness and angrily live in the county hospital. At that time check: heart rate 180 beats / min, rules. Electrocardiogram showed paroxysmal atrial tachycardia. Once intravenous cedilanid and intravenous infusion of hydrocortisone 200 mg and oral verapamil 120 mg for 10 days, tachycardia did not terminate, ventricular rate continued for 160 beats / min, then transferred to our hospital . Admission examination: God clear, supine, no urgency and cyanosis, blood pressure 100 /