论文部分内容阅读
房室结双径路传导可表现为非同步,也可表现为同步,并可伴有不同比例和不同形式的前传和逆传阻滞。我们最近遇到1例,报告如下。患者男性,76岁。近2年体力活动时感左胸闷,每次仅持续5分钟,曾多次在本院就诊,拟诊冠心病,用硝酸甘油和心得安治疗。近2日胸闷发作频繁,含硝酸甘油疗效不显。入院体检:BP160/90,心率100次/分,心律不齐,有早搏,心尖部间歇性闻及第1心音分裂,心底部A_2>P_2。入院后给予低分子右旋糖酐500m1和丹参21g静滴,每日1次,并口服消心痛和心律宁治疗。入院24小时后心电图复查示P-R间期固定于0.17秒,
Atrioventricular nodal dual pathway conduction can be manifested as unsynchronized, can also be shown as synchronized, and can be accompanied by different proportions and different forms of prequel and reverse block. We recently encountered a case, the report is as follows. Male patient, 76 years old. Physical activity in the past 2 years feeling chest tightness, each only lasts 5 minutes, has repeatedly in our hospital, diagnosis of coronary heart disease, with nitroglycerin and propranolol therapy. Nearly 2 days of frequent chest tightness, no significant effect of nitroglycerin. Admission physical examination: BP160 / 90, heart rate 100 beats / min, arrhythmia, premature beats, apical intermittent smell and heart sound 1, heart bottom A_2> P_2. Admitted to low molecular weight dextran 500ml and Salvia 21g intravenous infusion, once daily, and oral anti-heartache and heart rhythm treatment. 24 hours after admission ECG showed P-R interval fixed at 0.17 seconds,