论文部分内容阅读
男,18岁,因阵发性心悸8年,加重2个月,左眼视力严重障碍2天入院。缘于8年前,无任何诱因患者突感心悸、胸闷,就诊时经心电图检查证实为室上速,经医生按压眼球使室上速中止,症状消失。此后每年心慌发作4～5次,经患者自己按压眼球使症状缓解。近2个月来心悸发作频繁,每日发作3～4次,均经自己按压左侧眼球使症状缓解。2个月来左眼视物模糊,视力逐渐下降,近2天来左眼视力严重下降,几乎近于失明。因发作性心悸,左眼视力障碍而收入内科病房。无外伤、手术及药物过敏史,1年前查体左、右眼视力均正常. 查体:体温36.2℃,脉搏180次,呼吸18次,血压14.7/9.3kPa。营养中等,发育正常,神志清楚,检查合作。双肺清晰,心界不大,律齐,无杂音,心率180次。腹软,无压痛,未触及肝脾。双下肢无浮肿。心电图显示室上速,心率180次。眼科检查:右眼视力正常,左眼只有光感。左眼
Male, 18 years old, due to paroxysmal palpitations 8 years, increased 2 months, left eye serious visual impairment 2 days admission. Due to 8 years ago, without any incentive in patients with sudden heart palpitations, chest tightness, check-up by electrocardiogram confirmed as supraventricular tachycardia, the doctor pressed the eye to make the supramaximal stop, the symptoms disappear. After each episode of palpitation 4 to 5 times, the patient himself pressed the eye to relieve the symptoms. Palpitation in the past 2 months frequent seizures, 3 to 4 times a day episodes, by their own left eye to relieve symptoms. 2 months left eye blurred vision, visual acuity decreased, the last 2 days a serious decline in left eye vision, almost nearly blind. Due to episodes of palpitations, left eye vision impairment and income medical ward. No trauma, surgery and drug allergy history, physical examination left eye and right eye were normal 1 year ago. Physical examination: body temperature 36.2 ℃, pulse 180 times, breathing 18 times, blood pressure 14.7 / 9.3kPa. Medium nutrition, normal development, conscientious, check cooperation. Clear lungs, the heart is not big, law Qi, no noise, heart rate 180 times. Abdomen soft, no tenderness, did not touch the liver and spleen. No lower extremity edema. ECG showed supraventricular tachycardia, heart rate 180 times. Eye examination: normal right eye, left eye only sense of light. Left eye