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非阵发性房性心动过速(简称NPAT)与房性并行心律是两种少见的房性异位心律,作者遇见1例NPAT伴房性并行心律的病例,报告如下。病历摘要女,41岁。因心悸、气急7个月于1983年5月30日入院。体检:心界向左下扩大,心率80次/分,律不齐,心尖部第一心音低钝,可闻Ⅱ级收缩期杂音。各项化验均正常。胸透心脏呈普大型。超声心动图示左房、左室明显扩大。临床诊断特发性心肌病,给予极化液、能量合剂等治疗,住院47天病情好转出院。
Non-paroxysmal atrial tachycardia (NPAT) and atrial parallel rhythm are two rare types of atrial ectopic rhythm. The authors met with a case of NPAT with atrial parallel rhythm, the report is as follows. Female medical record, 41 years old. Due to heart palpitations, shortness of breath 7 months on May 30, 1983 admitted. Physical examination: the heart to expand to the left, the heart rate 80 beats / min, the law is not Qi, apical low first heart sound blunt, can be heard Ⅱ systolic murmur. All tests are normal. Chest through the heart was large. Echocardiography left atrium, left ventricle was significantly expanded. Clinical diagnosis of idiopathic cardiomyopathy, given polarized fluid, energy mixture and other treatment, hospitalized 47 days condition improved discharge.