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患者女性,46岁,因心悸、头昏、胸闷1年半,反复昏厥先后于1986年9月13日、1987年3月3日及1987年5月12日3次住院。前2次住院 ECG 示Ⅱ°二型房室传导阻滞,经用异丙肾上腺素、激素等治疗,传导阻滞消失,PR 间期0.11—0.12s,心率正常出院。第3次又因头昏、黑矇发作住院。体检除心率48次/min、心律不齐外,余无特殊发现。三大常规、血脂、肝肾功能均正常,血沉3mm/h。全胸片:心胸比例>0.05,
A 46-year-old female patient was hospitalized for three and a half days on September 13, 1986, March 3, 1987 and May 12, 1987 because of palpitations, dizziness and chest tightness for a year and a half. The first two inpatient ECG showed Ⅱ ° two types of atrioventricular block, with isoproterenol, hormones and other treatment, conduction block disappeared, PR interval 0.11-0.12s, heart rate was normal discharge. 3rd because of dizziness, dark episode hospitalization. Physical examination in addition to heart rate 48 times / min, irregular heartbeat, I found no special. Three conventional, blood lipids, liver and kidney function are normal, ESR 3mm / h. Full chest film: heart chest ratio> 0.05,