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患者,男,19岁,藏族,农民。三年前不明原因左眼视力减退,逐渐左眼完全失明,无心悸,不适等症状。体检:血压:16.0/10.6KPa,左眼白内障,心率47次/分,未闻及杂音,X线提示心肺(一),三大常规正常。描记心电图:窦性心律,心率38次/分,无ST—T改变,心电轴轻度右偏+97°。经口服阿托品0.3mg、每日三次、三天后复查心电图仍窦性心律,心率47次/分,即做阿托品激发试验:静脉注射阿托品1mg、10分钟后出现单原性频发室早,20分钟时心律转为窦性,心率90次/分,室早呈偶发。未经任何处理30分钟后室早完全消失。经一般服药治疗,1个月后
Patient, male, 19 years old, Tibetan, farmer. Three years ago, unexplained left eye vision loss, gradually blind completely left eye, no heart palpitations, discomfort and other symptoms. Physical examination: blood pressure: 16.0 / 10.6KPa, left eye cataracts, heart rate 47 beats / min, no smell and noise, X-ray prompted cardiopulmonary (a), the three routine normal. Electrocardiogram traced: sinus rhythm, heart rate 38 beats / min, no ST-T changes, mild right-axis ECG axis + 97 °. Oral atropine 0.3mg, three times daily, three days after the review of ECG is still sinus rhythm, heart rate 47 beats / min, that is to do atropine challenge test: atropine intravenous injection of 1mg, 10 minutes after onset of unipogenic frequency room early, 20 minutes When the heart rate to sinus, heart rate 90 beats / min, room was early sporadic. Room disappeared completely after 30 minutes without any treatment. After the general medication, 1 month later