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患者男性,42岁,反复左腰部绞痛伴血尿,疑诊肾结石。此次左腰痛呈阵发性,13:00自服阿托品0.6mg 无效。17:30因疼痛较剧在本单位肌注杜冷丁50mg,3min 后出现心悸、胸闷、面色苍白,伴恶心、呕吐而入院。体检除BP140/70mmHg(18.7/11.7kPa)及左肾区叩击痛外无殊。患者既往无心脏病史,心电图正常,但有青霉素等多种药物过敏史。入院后即刻描记心电图示:窦性心律,心率77次/min,心电轴不偏;可见周期性 P-R 间期逐次递增,之后出现1次 P 波阻滞,心室漏搏,ST-T 未见明显改
Male patient, 42 years old, with repeated left lumbar angina with hematuria, suspected kidney stones. The left back pain was paroxysmal, self-service at 13:00 atropine 0.6mg invalid. 17:30 due to pain more drama in this unit intramuscular dolantin 50mg, 3min after palpitations, chest tightness, pale, with nausea and vomiting and admitted to hospital. Physical examination except BP140 / 70mmHg (18.7 / 11.7kPa) and left kidney area percussion pain without exception. Past history of patients without heart disease, normal ECG, but a history of penicillin and other drug allergies. Immediately after admission ECG tracing: sinus rhythm, heart rate 77 beats / min, ECG axis is not partial; see the periodic PR interval gradually increased, followed by a P wave block, ventricular leak, ST-T no obvious change