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我们曾收治一例因胆道蛔虫病绞痛时胆—心反射引发室上性心动过速(室上速)患者。现报道如下: 1 临床资料患儿男性,10岁。右上腹钻顶痛伴呕吐2天,以胆道蛔虫病住院。体检:体温36.5℃,意识清楚;皮肤及巩膜无黄染;双肺呼吸音清,无啰音;心界不大,心率230次/分,律齐,无杂音;肝右肋下2cm,脾未扪及,剑突下疗偏右有深压痛,但无反跳痛和肌紧张。实验室检查:白细胞7.5×10~9/L,嗜中性粒细胞0.52,淋巴细胞0.46,嗜酸性粒细胞0.02;SGPT 61 U,HBsAg阴性。腹部B型超声提示胆总管内蛔虫。图1示:①正常形态的QRS波,R-R间期260 ms,频率230次/分;②逆行
We had a case of biliary - heart reflex due to biliary ascariasis caused by supraventricular tachycardia (SVS) patients. Are reported as follows: 1 Clinical data Children, 10 years old. Right upper quadrant pain with vomiting top two days to biliary ascariasis hospitalization. Physical examination: body temperature 36.5 ℃, clear consciousness; skin and sclera no yellow dye; lung breath sounds clear, no arousal; heart, heart rate 230 beats / min, law Qi, no noise; Not palpable, under the treatment of xiphoid right deep tenderness, but no rebound tenderness and muscle tension. Laboratory tests: white blood cells 7.5 × 10 ~ 9 / L, neutrophils 0.52, lymphocytes 0.46, eosinophils 0.02; SGPT 61 U, HBsAg-negative. Abdominal B-type ultrasound in the common bile duct worms. Figure 1 shows: ① normal QRS wave, R-R interval 260 ms, frequency of 230 beats / min; ② retrograde