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患者男性,35岁。因排尿后心慌伴晕厥1h入院。患者自1991年4月以来无诱因出现4次排尿时心慌、头晕,每次发作持续数秒钟,可自行缓解,无出汗、黑朦、晕厥。未检查治疗。1991年10月29日午睡后排尿时再次感心慌、胸闷、头晕,继之摔倒在地,意识不清约1～2min后自行清醒,感出冷汗、乏力。1h后送至我院。当时查体:血压16/9.3kPa,心率96min,心律绝对不齐,心音强弱不等,绌脉。心电图示:心房纤颤。约90min后症状减轻,查体:心率92/min,心律齐。复查心电图显示自动转为窦性心律。患者既往无心脑血管病史,心电图正常。入院后排尿、食管心房调搏检查均未诱发房颤及晕厥。复查心电图为窦性心律、正常心电图。食管心房调搏窦房结功能测定、
Male patient, 35 years old. After urination with fainting 1h admitted to hospital. Patients with no urination since April 1991 4 times urination palpitation, dizziness, each episode lasts for a few seconds, can relieve itself, without sweating, darkness, syncope. Did not check the treatment. October 29, 1991 Afternoon nap, urination, palpitation again, chest tightness, dizziness, followed by fall to the ground, unconsciousness about 1 ~ 2min after their own conscious, feeling cold sweat, fatigue. 1h after delivery to our hospital. At that time physical examination: blood pressure 16 / 9.3kPa, heart rate 96min, heart rhythm is absolutely missing, heart sound intensity range, the length of the veins. ECG shows: atrial fibrillation. About 90min after the symptoms reduced, physical examination: heart rate 92 / min, heart rate Qi. Review ECG automatically converted to sinus rhythm. Past history of patients without cardiovascular disease, normal ECG. Urination after admission, esophageal atrial pacing examination did not induce atrial fibrillation and syncope. ECG review for the sinus rhythm, normal ECG. Esophageal atrial pacing sinus node function measurement,