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患者男,62岁,有冠心病史10年,因胸闷、气短1周、加重1天入院。心电图示窦性心律,频发房早,不全性右束支传导阻滞,右心室肥大、劳损。无癫痫病史。入院后,静滴低分子右旋糖酐、复方丹参、能量合剂,口服乙胺碘呋酮。1周后,自觉症状缓解,早搏消失。入院第10天,因便秘、排便时间较长,突然意识丧失,抽搐,面色苍白,约1.5分钟后神志恢复,抽搐停止。心电监护示窦性心动过缓,窦性停搏,心率28次/min。临床诊
Male patient, 62 years old, has a history of coronary heart disease for 10 years, due to chest tightness, shortness of breath for 1 week, increased 1 day admission. ECG shows sinus rhythm, frequent atrial fibrillation, incomplete right bundle branch block, right ventricular hypertrophy, strain. No history of epilepsy. After admission, intravenous infusion of low molecular weight dextran, compound Salvia, energy mixture, oral amiodarone. After 1 week, symptoms relieved, premature beats disappeared. Admission on the 10th day, due to constipation, defecation for a long time, a sudden loss of consciousness, convulsions, pale, about 1.5 minutes after the conscious recovery, convulsions stopped. ECG showed sinus bradycardia, sinus arrest, heart rate 28 beats / min. Clinical diagnosis