阵发性心房颤动(房颤)是器质性心脏病常见的心律失常。在无器质性心脏病的患者中,阵发性房颤也不罕见。但在同一家族一代成员中,数人累患阵发性房颤者却属少见。本文报告一家兄弟姐妹4人先后患有阵发性房颤,并分析如下: 1 病例资料1.1 例1:王某,男性,27岁。1986年3月5日在睡眠中突然惊醒,即感心悸、乏力。查体:心律不齐,心率110次/分,心音强弱不等。心电图示房颤。静注毛花甙C(西地兰)0.2 mg,1小时后房颤转变为窦律。以后又有类似发作。1.2 例2:王某,女性,19岁。系例1之四妹。1986年5月2日睡眠中突然惊醒,因心悸、头晕而就诊。查 Paroxysmal atrial fibrillation (atrial fibrillation) is a common arrhythmia of organic heart disease. Paroxysmal atrial fibrillation is also uncommon in patients without organic heart disease. However, members of the same family generation, several people suffering from paroxysmal atrial fibrillation is rare. This article reports a sibling 4 people have paroxysmal atrial fibrillation, and analyzed as follows: 1 case data 1.1 Example 1: Wang, male, 27 years old. March 5, 1986 Suddenly awakened in sleep, that feeling palpitations, fatigue. Physical examination: arrhythmia, heart rate 110 beats / min, heart sound intensity range. ECG shows atrial fibrillation. Intravenous ciliidin C (cedilanid) 0.2 mg, 1 hour after the change of atrial fibrillation sinus rhythm. After a similar attack. 1.2 cases 2: Wang, female, 19 years old. Case 1 of the four sister. May 2, 1986 Suddenly awake during sleep, palpitations, dizziness and treatment. check