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病历摘要患者,赵某,男,50岁。因心前区不适2天,于1989年7月9日入院。既往有高血压病史20年,查体:血压160/90。心率60次,律齐,各瓣膜区未闻及杂音、两肺无异常。肝脾未及。胸片,心脏B超均未发现异常。心电图检查:Ⅱ呈qrS型,Ⅲ、avF呈QS型,Ⅲ、avF之T波倒置,各导联均有明显预激波,V_1～V_6主波向上,符合A型预激诊断。入院后,口服心律平100毫克,每日三次,阻滞旁道传导。次日,预激波消失,Ⅱ、Ⅲ、avF呈Rs型,并出现宽深,倒置之T波。其后,T波逐渐变浅,低平,4日后,Ⅱ转为直立。
Patient summary, Zhao, male, 50 years old. Due to precordial discomfort for 2 days, on July 9, 1989 admission. Past history of hypertension 20 years, physical examination: blood pressure 160/90. Heart rate 60 times, law Qi, the valve area did not smell and noise, both lungs without exception. Liver and spleen not yet. No abnormalities were found in chest radiographs and heart B ultrasound. Electrocardiogram: Ⅱ qrS type, Ⅲ, avF was QS type, Ⅲ, avF T wave inversion, each lead obvious pre shock wave, V_1 ~ V_6 main wave up, in line with A-type pre-excitation diagnosis. After admission, oral rhythm 100 mg three times a day, blocking the bypass conduction. The next day, pre-shock disappeared, Ⅱ, Ⅲ, avF was Rs type, and appeared wide deep, inverted T wave. Since then, T wave gradually lighten, low flat, 4 days later, Ⅱ into erect.