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患者男性,32岁。因胸闷、心悸、乏力1月余疑为“病毒性心肌炎”、Ⅱ°房室传导阻滞(AVB)入院。平素身体健康,近期无感冒病史。体检:体温正常,血压16.9/10.4kPa。双肺无异常。心界不大,心脏听诊:立位律整,心率83次/分;坐位律齐,心率71次/分;卧位律不规则,心率48次/分。各瓣膜区未闻及杂音。腹部正常。入院查血常规,血沉、抗“O”、X线胸片、超声心动图均正常。心电图(Ⅱ导联):卧位示Ⅱ°Ⅰ型AVB,坐位示Ⅰ°AVB,立位正常。诊断:体位依赖性AVB。经调节植物神经
Male patient, 32 years old. Due to chest tightness, palpitations, fatigue in January suspected “viral myocarditis”, Ⅱ ° atrioventricular block (AVB) admission. Normal physical health, no recent history of a cold. Physical examination: normal body temperature, blood pressure 16.9 / 10.4kPa. No abnormal lungs. Heart, auscultation: stand the whole law, the heart rate 83 beats / min; sitting Qi law, heart rate 71 beats / min; irregular supine rules, heart rate 48 beats / min. The valve area did not smell and noise. Abdomen normal. Admission check blood routine, ESR, anti “O”, X-ray, echocardiography are normal. ECG (Ⅱ lead): lying position showed Ⅱ ° Ⅰ type AVB, sitting showed Ⅰ ° AVB, standing normal. Diagnosis: Position-dependent AVB. Regulated autonomic nerve