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全内脏转位并发预激综合征为一罕见病,国内尚未见报道,现将我们所见1例介绍如下。患者男性,30岁,已婚,矿工,住院号74822。因阵发性心悸4年于1979年10月25日住院。1975年5月起出现障发性心悸、心慌、胸闷不适。每年发作2～3次,每次持续约2～12小时,未经处理可自行缓解。制烈活动或精神受刺激易于诱发。患者有烟酒嗜好,家族史无特殊。体格检查:血压105/70mmHg,发育正常,胸廓无畸形,双肺无异常,心前区无膨隆,心尖搏动于右第5肋间琐骨中线内1厘米,心脏浊音区位于右胸,心界无扩大,心率84次/分,律齐,心尖部第一音亢进,无杂音及附加音,未闻及第二音反常分裂。肝上界于左第6肋间,下界于左肋缘下1.5厘米,边缘锐,质软,无触痛,脾未触及。胃底鼓音区在右上腹。无杵状指趾,无紫绀。化验:三大常规、血沉、肝功能、血脂在正常范围。LDH、
Total visceral transposition concurrent pre-excitation syndrome is a rare disease, has not been reported in China, now we see a case described below. Male patient, 30 years old, married, miner, hospital number 74822. 4 years due to paroxysmal palpitations in October 25, 1979 hospitalization. May 1975 onset of paroxysmal palpitations, palpitation, chest discomfort. Attack 2 to 3 times a year, each lasting about 2 to 12 hours, untreated can be relieved. Mental activity or mental stimulation easily induced. Patients have alcohol and tobacco habits, family history no special. Physical examination: blood pressure 105 / 70mmHg, normal development, no thoracic deformity, no abnormal lungs, no bulging anterior heart area, apical beating in the right intercostal space of the middle of the rib cage 1 cm, the heart of the voiced area in the right chest, heart No expansion, heart rate 84 beats / min, law Qi, apex accent hyperactive, no noise and additional sound, unheard of and the second tone anomalous division. Liver upper bound in the left 6th intercostal space, the lower bound 1.5cm below the left costal margin, sharp edge, soft, no tenderness, spleen not touched. Stomach drum area in the right upper quadrant. No clubbing toe, no cyanosis. Laboratory tests: three conventional, ESR, liver function, blood lipids in the normal range. LDH,