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肾综合征出血热并发心动过速、心动过缓较常见,但并发完全性房室传导阻滞比较少见。我院发现1例,现报告如下:1 病例资料 患者男,55岁。因发热、头痛、腰痛4天,视物不清6小时于1998年11月8日入院。既往无心脏病史。查体:T 39℃,P 90次/分,BP 11/8 kPa,酒醉貌,双腋下散在针尖大小出血点。睑结膜、咽后壁充血明显。球结膜Ⅰ°水肿。心肺检查未见异常。双肾区叩击痛。实验室检查:血WBC 8.5×10~9/L,Pc(血小板计数)53×10~9/L;尿PRO +++,血K 4.2 mmol/L,Na 139 mmol/L,CL 101
Hemorrhagic fever with renal syndrome complicated by tachycardia, bradycardia is more common, but complicated with complete atrioventricular block is relatively rare. 1 case was found in our hospital, the report is as follows: 1 case data male patient, 55 years old. Due to fever, headache, back pain 4 days, depending on the material is not clear 6 hours on November 8, 1998 admission. No previous history of heart disease. Physical examination: T 39 ℃, P 90 beats / min, BP 11/8 kPa, drunken appearance, double axillary scattered in the size of the tip of the bleeding. Membrane conjunctiva, pharyngeal wall congestion was obvious. Bulbar conjunctiva Ⅰ ° edema. Cardiopulmonary examination showed no abnormalities. Kidney area percussion pain. Laboratory tests: blood WBC 8.5 × 10 ~ 9 / L, Pc (platelet count) 53 × 10 ~ 9 / L; urine PRO +++, blood K 4.2 mmol / L, Na 139 mmol / L, CL 101