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患者女,37岁。活动时心悸、黑矇至频发晕厥9月余。多次心电图、脑电图、X线胸片及颈椎片检查,均未发现异常。1990年2月来院行动态心电图(DCG)检查,发现频发室性早搏(简称室早)伴反复发作性短阵室性心动过速(简称室速),室速28阵,频率280次/分左右,持续时间最长达6秒。体检:心率54次/分,律齐,余无异常发现。血沉、血糖、血脂、血电解质、抗“o”、T_3、T_4、X线胸片、心脏B超等检查均正常。起初服慢心律、心律平各150mg,每日3~4次共9天无效。改服异搏定160~240mg/d,10天后症状改善,晕厥控制。复查DCG室早减少,长串室速消失。同年4月转诊他院,予以停服异搏定观察。黑
Female patient, 37 years old. Activities palpitations, dark to frequent syncope more than 9 months. Multiple ECG, EEG, X-ray and cervical spine examination, were found no abnormalities. In 1990 February to the hospital dynamic electrocardiogram (DCG) examination and found frequent ventricular premature beats (referred to as room early) with recurrent paroxysmal ventricular tachycardia (VT), VT 28, the frequency of 280 beats / Minutes or so, the duration of up to 6 seconds. Physical examination: heart rate 54 beats / min, Law Qi, I found no abnormalities. ESR, blood glucose, blood lipids, blood electrolytes, anti “o”, T_3, T_4, X-ray, heart B ultrasound and other tests were normal. At first, slow heart rate, heart rate of 150mg, 3 to 4 times a day for a total of 9 days is invalid. Change clothes verapamil 160 ~ 240mg / d, 10 days after the symptoms improved, syncope control. DCG room review early reduction, long-term VT disappear. In April the same year referral to his hospital, to stop taking verapamil observation. black