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患者,女,41岁。因2月来反复胸闷、心慌和晕厥,于1991年2月25日入院。查体:血压18/8kPa,神清,自动体位,心界不大,心率44次/分,心音低钝,胸骨左缘2～3肋间可闻Ⅱ/6级收缩期杂音。心电图示三度房室传导阻滞,超声心动图和其他实验室检查无异常发现。入院后曾用阿托品、异丙肾上腺素和激素等药物治疗无效。入院后第3日发作2次阿斯综合征,心电图示为结性逸搏、室性心动过速,室颤。经胸外心脏按压和利多卡因等治疗无效。200
Patient, female, 41 years old. Due to repeated chest tightness in February, palpitation and fainting, admitted to hospital on February 25, 1991. Physical examination: blood pressure 18 / 8kPa, Shen Qing, automatic position, the heart is not big, heart rate 44 beats / min, heart sound low blunt, sternal left margin 2 to 3 intercostal can smell Ⅱ / 6 systolic murmur. ECG third degree atrioventricular block, echocardiography and other laboratory tests found no abnormalities. After admission with atropine, isoproterenol and other drugs and hormone therapy is invalid. On the 3rd post-admission episode of 2 Asperger syndrome, ECG showed nocturnal anemia, ventricular tachycardia, ventricular fibrillation. After thoracic cardiac pressure and lidocaine treatment ineffective. 200