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1病例介绍患者,女,22岁,以“阵发性心悸10 d,加重1 d”为主诉入院。患者于10 d前上厕所后突感心悸,未予介意。近1 d心悸加重,常规孕期体检,心电图示短阵室速,急转笔者所在科。入院诊断:短阵室速,孕32~(+5)周。入院后,立即吸氧,心电监护。心电监护示:窦性心律,频发室早二联律,短阵室速。患者无头晕,无胸闷、气短,无心前区疼痛,无晕厥。血压110/60 mm Hg,心率115～135次/min。立即给予利多卡因50 mg静注,观察心律变化,15 min后心律无好转,又给予利多卡因50 mg静注,短阵室速消失,只有室早二联律,部分室早成对,然后以利多卡因1 mg/min静滴维持,期前收缩未见减少,疗效不显著,观察10 h后停用。继续观察患者心律无明显异常,各项常规化验检查均正常。胎儿心脏彩超及胎
1 case description The patient, female, 22 years old, with “paroxysmal palpitations 10 d, increased 1 d ” as the main complaint hospitalization. The patient did not mind being palpitated after using the toilet 10 days ago. Almost 1 d increased palpitations, routine physical examination during pregnancy, electrocardiogram, paroxysmal ventricular tachycardia, acute the author of the Branch. Admission diagnosis: paralyzed VT, pregnant 32 ~ (+5) weeks. After admission, immediately oxygen, ECG monitoring. ECG monitoring shows: sinus rhythm, frequent room early dual joint law, paroxysmal ventricular tachycardia. Patients without dizziness, no chest tightness, shortness of breath, no pain in the anterior heart area, no syncope. Blood pressure 110/60 mm Hg, heart rate 115 ~ 135 times / min. Immediately give lidocaine 50 mg intravenously to observe changes in heart rate, 15 min after the heart rate did not improve, but also give lidocaine 50 mg intravenously, short-term ventricular tachycardia disappeared, only the room as early as the second law, part of the room as early as paired, And then lidocaine 1 mg / min intravenously maintained, no reduction in pre-term contraction, the effect was not significant, observed after 10 h disabled. Continued observation of patients with no significant abnormal heart rate, the routine laboratory tests were normal. Fetal heart ultrasound and fetal