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患者男性,50岁。因忧虑、失眠2天于1988年4月就诊。既往有类似症状,服用镇静剂1—2天即可消失。体检:BP120/70mmHg(160/9.3kPa)。心律齐,未闻及病理性杂音。经 X 线胸片、B 超、实验室检查等,除脾脏稍大(有疟疾病史)外,均在正常范围。心电图示窦性心律,完全性左束支阻滞(CLBBB)。6月3日复查心电图示窦性心律,心率平均81次/min,仍示 CLBBB,QRS 时限0.13s,P-R 间期0.14s,ST-T 呈继发性改变,电轴—5°(附图 A)。令患者作乏氏动作
Male patient, 50 years old. Due to anxiety, insomnia 2 days in April 1988 treatment. Previously have similar symptoms, taking sedatives 1-2 days to disappear. Physical examination: BP120 / 70mmHg (160 / 9.3kPa). Qi heart, no smell and pathological murmur. The X-ray, B-, laboratory tests, etc., except for the spleen slightly larger (history of malaria), are in the normal range. ECG shows sinus rhythm, complete left bundle branch block (CLBBB). June 3 review of ECG showed sinus rhythm, heart rate average 81 beats / min, still showed CLBBB, QRS duration 0.13s, PR interval 0.14s, ST-T was secondary changes, the electric axis -5 ° (with photos A). Let the patient for fatigue action