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我院收治2例Ⅲ度房室传导阻滞(Ⅲ°AVB)患者,应用异丙肾上腺素、阿托品和地塞米松等均无效,试用25%疏酸镁静脉点滴,纠正了Ⅲ°ABV,现报告如下。病例摘要例1:男,54岁。因胸闷、气短1年,近半月加重伴反复晕厥而住院。查体:心率25次/分,呼吸20次/分,血压15/11kPa。双肺呼吸音清,心率25次/分,律规整,心音有力,偶闻大泡音。心电图:结性逸搏心律伴Ⅲ°AVB,电轴左偏-30°,心室率29次/分,QT间期
In our hospital, 2 patients with Ⅲ degree atrioventricular block (Ⅲ ° AVB) were treated with isoproterenol, atropine and dexamethasone, all of which were ineffective. The report is as follows. Case Summary Example 1: Male, 54 years old. Due to chest tightness, shortness of breath for 1 year, nearly half of the increase with repeated syncope and hospitalization. Physical examination: heart rate 25 beats / min, breathing 20 beats / min, blood pressure 15 / 11kPa. Respiratory sound clear lungs, heart rate 25 beats / min, law and order, powerful heart sound, even heard big bubble sound. ECG: nystagmus rhythm with Ⅲ ° AVB, left axis deviation -30 °, ventricular rate 29 beats / min, QT interval