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辽宁医药1978年第1期刊登旅大市第二人民医院内科心血管组(林治湖医师整理)“阿托品抢救某种类型危险性室性心律失常的报告”一文,个人经过仔细地学习受益很大。但从文中的病例报告以及讨论中的一些论点仍混淆不清,愿提出与作者商讨。一、不能诊断为“某种类型危险性室性心律失常”,而是Q—T间期综合征(或称Q—T间期延长综合征)。对文章报告的2例病例具体分析后,正如作者在讨论中指出“我们的病例表明,阿托品确能抢救与治疗某种类型的室性心律失常。这些病例主要临床表现为①多为女性;②平素多有神经症及植物神经功能紊乱;③多有晕厥发
Liaoning Medical published in 1978 first issue of the Second People’s Hospital of Luda internal medicine cardiovascular group (Dr. Lin Zhihu Lake) “atropine rescue of some types of dangerous ventricular arrhythmias,” a paper, individuals after careful study to benefit greatly . However, the case reports from the article and some of the arguments in the discussion are still unclear. We are willing to discuss with the author. First, can not be diagnosed as “some type of risk of ventricular arrhythmias,” but rather Q-T syndrome (or Q-T prolongation syndrome). After analyzing the two reported cases, as the author pointed out in the discussion, “Our cases show that atropine does indeed rescue and treat certain types of ventricular arrhythmias.” The main clinical manifestations of these cases were ① mostly women; ② Usually have more neurosis and autonomic dysfunction; ③ more syncope hair