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患者,女性,24岁,因心动过缓,房室传导阻滞1年住院。1年内曾有数次工作中一过性黑朦,未发生昏厥。家族中其父有房室结下三支阻滞,安装了埋藏式起搏器。体检心率42次/分,血压13.3/9.3kPa,心脏向左侧扩大,心尖部有Ⅱ/6SM,P_2>A_2,心电图呈Ⅱ°Ⅱ型AVB,间断出现Ⅲ°AVB,X线示左心室肥大,SGPT、TTT正常,血糖4.2mmol/L,甘油三酯1.1mmol/L,胆固醇3.8mmol/L, SGOT19u,CPK30u/L,LDH127u/L。诊断扩张型心肌病,并Ⅱ°-Ⅲ°AVB,于1991年5月13日安装CPI公司MODLE926型房室顺序DDD型起搏器。穿
Patient, female, 24 years old, hospitalized for 1 year due to bradycardia, atrioventricular block. During the past few years there had been a number of transient darkness, no fainting. His father had atrioventricular node block three, installed a buried pacemaker. Heart rate was 42 beats / min and blood pressure was 13.3 / 9.3kPa. The heart was enlarged to the left. The apical part had Ⅱ / 6SM, P_2> A_2. The electrocardiogram showed Ⅱ ° Ⅱ AVB and intermittent Ⅲ ° AVB. X-ray showed left ventricular hypertrophy , SGTT, TTT normal, blood glucose 4.2mmol / L, triglyceride 1.1mmol / L, cholesterol 3.8mmol / L, SGOT19u, CPK30u / L, LDH127u / L. Diagnosis of dilated cardiomyopathy, and Ⅱ ° -Ⅲ ° AVB, on May 13, 1991 installed CPI MODLE926 atrioventricular sequence DDD pacemaker. wear