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患者 男,24岁。因纳差、头昏、胸闷1周,于1993午12月21日入院。查体:体温36.5℃,脉搏40次,呼吸20次,血压16/12kPa。心率40次/分,律齐,余无阳性所见。实验室检查:血红蛋白129g/L,白细胞4.6×10~9/L,尿酮体弱阳性,尿常规正常,白细胞0~1/HP。既往无心脏病史。诊断为代谢性酸中毒,心动过缓。经输液治疗,尿酮体转阴性,但心率无改变,用阿托品亦无明显效果。心电图示窦性心动过缓。1周后彩色多普勒检查报告:心脏未见器质性病变。病人常诉头昏、胸闷、憋气、恶心。后发现查房前多次用0.1%滴鼻净5ml点鼻,约半小时即出现上述症状,停供滴鼻净后心率逐渐增至56次/分、65次/分,出院。
Patient male, 24 years old. Due to anorexia, dizziness, chest tightness for 1 week, on December 21, 1993 admission. Physical examination: body temperature 36.5 ℃, pulse 40 times, breathing 20 times, blood pressure 16 / 12kPa. Heart rate 40 beats / min, Law Qi, I see no positive. Laboratory tests: hemoglobin 129g / L, white blood cells 4.6 × 10 ~ 9 / L, urine ketone body weak positive urine normal, white blood cells 0 ~ 1 / HP. No previous history of heart disease. Diagnosed with metabolic acidosis, bradycardia. Transfusion therapy, urine ketone body negative, but no change in heart rate, no significant effect with atropine. ECG shows sinus bradycardia. 1 week after color Doppler examination report: no organic disease in the heart. Patients often complain of dizziness, chest tightness, suffocation, nausea. After the discovery of the rounds of nose with 0.1% before and after the discovery of net nose 5ml, about half an hour that the above symptoms, stop bleeding for the nose after the net gradually increased to 56 beats / min, 65 beats / min, discharged.