1病历摘要患者,女,72岁,因心悸、气短10年,黑蒙2个月入院。查体:Bp160/90mm Hg,呼吸平稳。口唇无发绀,颈静脉无怒张,两肺正常。心界无扩大,第一心音强弱不等。节律不整,心律38次/min。各瓣膜区未闻及杂音。腹平,肝脾正常。心电图:异位心律,心房颤动并Ⅲ度房室传导阻滞,节律38次 1 medical records summary, female, 72 years old, due to heart palpitations, shortness of breath 10 years, 2 months Mengmei admission. Physical examination: Bp160 / 90mm Hg, breathing stable. No cyanosis lips, jugular vein without tension, both lungs normal. No expansion of heart, the first heart sound strength range. Rhythm irregular heart rhythm 38 times / min. The valve area did not smell and noise. Abdominal flat, normal liver and spleen. ECG: ectopic rhythm, atrial fibrillation and degree atrioventricular block, rhythm 38 times