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患者32岁,电信局工人,因夜间突发性胸痛而就诊。睡前已有几小时心悸,头昏感觉,但直到发作剧烈的胸骨后疼痛才予以重视。在急诊室,病人有轻度烦躁,皮肤湿冷,心律134次/分,血压80/50mmHg,肺野清晰。既往有高血压史,用双氢克尿噻治疗已经5年。另据病人妻子介绍,患者有阵发性心悸多年,每次发作几分钟,曾用心得安治疗,但因药物副作用而中断治疗。最近一直在用奎尼丁治疗,4次/日每次300mg 急诊室作的心电图见图1。
Patient 32 years old, Bureau worker, due to sudden chest pain at night and treatment. Palpitation has been a few hours before going to bed, feeling dizzy, but not until the onset of severe sternal pain was given attention. In the emergency room, patients with mild irritability, cold skin, heart rate 134 beats / min, blood pressure 80 / 50mmHg, lung field clear. Previous history of hypertension, with hydrochlorothiazide hydrochlorothiazide treatment has been 5 years. According to the introduction of the patient’s wife, patients with paroxysmal palpitations for many years, each attack a few minutes, had peace of mind treatment, but because of drug side effects and interruption of treatment. Recently been treated with quinidine, 4 times / day 300mg emergency room for electrocardiogram shown in Figure 1.