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患者男、14岁,反复发作胸闷、心悸、晕厥5年。患者上述症状常发生在活动中或运动后,多数伴情绪激动,发作时心悸、乏力,可伴晕厥、意识丧失,小便失禁。每次晕厥20s至5min不等,可自行恢复神志。就诊时心电图正常,脑电图未见异常。动态心电图示:最慢心率47bpm,其他无特殊异常。自行在家服中药治疗。3个月后再次晕厥、意识丧失并住院治疗。
Male patient, 14 years old, recurrent chest tightness, palpitations, syncope 5 years. Patients often occur in the activities of these symptoms or after exercise, most with emotional stimulation, palpitations, fatigue, may be associated with syncope, loss of consciousness, urinary incontinence. Each syncope 20s to 5min range, can restore their consciousness. ECG at the time of treatment was normal, no abnormal EEG. Holter ECG: the slowest rate of 47bpm, no other special abnormalities. At home, Chinese medicine treatment. Syncope after 3 months, loss of consciousness and hospitalization.