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病态窦房结综合征(Sick SinusSyndrome,以下简称SSS)是以窦房结病变导致冲动形成、或传导障碍所引起的心搏出量减少,心脑血灌流不足的一系列心律失常和心脑缺血为主的临床综合征。近年来临床报告逐渐增多,但是文献报告本病的尸检资料不多。现将我院2例尸检报告如下,以供参考。例1,男性,76岁,发现心动过缓3年多,反复发作性晕厥1年多,7个月前因阿斯综合征发作住某医院,心电图示窦性心动过缓,高度房室传导阻滞。于1982年4月16日死于室颤发作。尸检所见(A—1329):心脏重300g,心外膜正常,心包腔无积液。各房室无扩大,左右室壁为1.2∶0.2cm,心瓣膜正常,无赘生物。左旋支及右总干可见粥样斑块,左旋支管腔狭窄仅三分之一。镜
Sick Sinus Syndrome (Sick SinusSyndrome, hereinafter referred to as SSS) is caused by sinus node lesions lead to impulse or conduction disorders caused by decreased cardiac output, cardio-cerebral blood flow inadequate series of arrhythmia and lack of brain Blood-based clinical syndrome. In recent years, clinical reports gradually increased, but the literature reported the disease’s autopsy data is small. Now 2 cases of autopsy in our hospital are as follows for reference. Example 1, male, 76 years old, found bradycardia more than 3 years, recurrent syncope for more than 1 year, 7 months ago due to Asperger syndrome attack in a hospital, ECG showed sinus bradycardia, atrioventricular conduction Blocking. On April 16, 1982 died of ventricular fibrillation. Autopsy see (A-1329): heart weight 300g, epicardial normal, pericardial effusion. No expansion of the atrioventricular, left ventricular wall is 1.2: 0.2cm, normal heart valve, no vegetation. Left and left main branch of the total visible atherosclerotic plaque, left ventricular stenosis only one-third. mirror