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患者,男,58岁,因腰部胀痛3年、加重1周于1991年5月11日入院。否认高血压、心脏病、心律失常史。查体:BP14.0/10.0kPa,甲状腺不肿大,两肺(一),心率71次/分,律齐,无杂音。左肾区轻度叩击痛,下腹部稍有压痛。尿常规:蛋白(+)RBC(?)、WBC3～5个。血脂、血糖、肝、肾功能正常。胸片示:两肺阴性,心脏大小正常。2次 B 超示:(1)左肾盂单发性结石(0.9×0.9cm),(2)膀胱结石(0.9×0.7cm)。ECG检查:窦性心律、左前分枝阻滞。眼底(一)。于5月17日下午行体外震波碎后术(ESWL)治疗。患者术时感乏力、精神差、并感心悸、胸闷,抬回病房后查体:呼吸稍促,BP17.0/11.0kPa,心率142次/分,快慢不一,强弱不等。即查 ECG 示:
The patient, male, aged 58, was admitted to hospital on May 11, 1991, due to pain in the lower back for 3 years and an aggravation of 1 week. Denied high blood pressure, heart disease, arrhythmia history. Examination: BP14.0 / 10.0kPa, thyroid enlargement, two lungs (a), heart rate 71 beats / min, law Qi, no noise. Left renal area mild percussion pain, lower abdomen slightly tenderness. Urine routine: protein (+) RBC (?), WBC3 ~ 5. Blood lipids, blood glucose, liver and kidney function is normal. Chest X-ray showed: two lungs negative, normal heart size. 2 B ultrasound showed: (1) left renal pelvis solitary stones (0.9 × 0.9cm), (2) bladder stones (0.9 × 0.7cm). ECG examination: sinus rhythm, left anterior branch block. Fundus (a). Extracorporeal shock wave surgery (ESWL) was performed on the afternoon of May 17. Patients with surgery time fatigue, mental retardation, and feeling palpitations, chest tightness, after the lift back to the ward examination: breathing slightly, BP17.0 / 11.0kPa, heart rate 142 beats / min, varying in speed, strength and weakness. Check the ECG shows: