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患者女性,20岁。因反复晕厥、抽搐1小时于1989年9月18日下午3时入院。入院前1天患者食牛肉3小时后与其兄均出现阵发性腹痛、轻度腹泻,经庆大霉素、抗菌优、复方颠茄片治疗后症状缓解。但20小时后突然意识丧失,摔倒在地,数秒钟后意识恢复,感胸闷、头痛。在来院途中再次出现上述症状伴抽搐。既往健康。体检:Bp13.3/4.8kPa,心界正常,心率37次/分,律不齐,心音低、第一心音强弱不等。心电图示:Ⅲ度房室传导阻滞(AVB),QRS波宽大畸形,心房率107次/分,心室率37～46次/分,并室性停搏,最长R-R间期为3.32s,血尿常规、血沉、抗“O”、血电解质、二氧化碳结合力均正常,X线胸片及超声心
Patient female, 20 years old. Due to recurrent syncope, convulsions 1 hour on September 18, 1989 at 3 pm admission. One day before admission, patients with beef three hours after the onset of paroxysmal abdominal pain with their brothers, mild diarrhea, gentamicin, antibacterial gifted, compound belladonna tablets relieve symptoms after treatment. However, after 20 hours of sudden loss of consciousness, fell to the ground, a few seconds after the recovery of consciousness, feeling chest tightness, headache. On the way to hospital again with the above symptoms with convulsions. Past health. Physical examination: Bp13.3 / 4.8kPa, normal heart, heart rate 37 beats / min, irregularities, low heart sounds, the first heart sound intensity ranged. ECG: Ⅲ degree atrioventricular block (AVB), QRS large wave deformity, atrial rate 107 beats / min, ventricular rate 37 to 46 beats / min and ventricular arrest, the longest RR interval was 3.32s, Hematuria, ESR, anti-“O”, blood electrolytes, carbon dioxide binding were normal, X-ray and echocardiography