论文部分内容阅读
女患,73岁,4年来间断心慌、头晕、出冷汗、手颤.发作多见于清晨4～5时,近两年发作时伴有意识丧失,四肢抽搐,口吐白沫,小便失禁。多次在外院就诊、先后诊为“心律失常、心房纤颤”、“一过性脑缺血发作”、“癫痫”等。于1989年8月2日症状再发,以“癫痫”收住院。10年前患“冠心病、”合并“心房纤颤”。体检:T36℃,P100次/分左右,脉律不齐。R28次/分,BP16/8kPa。昏迷状,压眶反射存在。双瞳孔等大等园,向上凝视,对光反射迟钝。面肌及双上肢小抽搐,吐少许白沫。颈无抵抗,心界不大,心率约
Female, 73 years old, 4 years of intermittent palpitation, dizziness, cold sweat, hand tremor.Peak more common in the early morning 4 to 5, the last two years of attack with loss of consciousness, limbs convulsions, foaming at the mouth, urinary incontinence. Many times in the hospital for treatment, has been diagnosed as “arrhythmia, atrial fibrillation,” “transient ischemic attack”, “epilepsy” and so on. On August 2, 1989 recurrence of symptoms, “epilepsy” admitted to hospital. 10 years ago suffering from “coronary heart disease,” the merger of “atrial fibrillation.” Physical examination: T36 ℃, P100 times / min or so, irregular pulse. R28 times / min, BP16 / 8kPa. Coma, pressure orbital reflex exists. Double pupil and other garden, upward gaze, slow reflection of light. Facial muscle and upper limb twitch, spit a little white foam. Neck without resistance, heart is not big, heart rate is about