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1966年Dessertenne首先用扭转型室性心动过速描述了一种特殊类型室性心动过速,它有别于阵发性室性心动过速与心室颤动。近年来我院发现4例,除具有扭转型室速共同点外,其发作和病因有特殊性与以往文献记载有所不同,故予报道如下。病例报告例1 郑某,女性,28岁,已婚,工人。一年多来间歇出现心悸、头昏,每次历时数秒。1980年7月1日自觉胸闷不适。7月2日晚正值熟睡,因家人吵架惊醒后翻身即感心悸、头昏,随即晕厥、神志不清。俄而苏醒后呕吐一次,连声呃逆,出现平卧时心悸不安,坐起后即消失的现象。次晨来诊。以往体健。经调查,家属中无相似病例。体验:自动体位,听力良好。心浊音界不扩大,坐位心律齐,心率90次/分,平卧后不到一分钟即出现期前收缩,数次后出现心动过速,坐起后立即规则如旧。心尖部
In 1966 Dessertenne first described a particular type of ventricular tachycardia with torsed ventricular tachycardia, which is different from paroxysmal ventricular tachycardia and ventricular fibrillation. In recent years, 4 cases were found in our hospital, in addition to having torsades de pointes common, the onset and etiology have particularities and the literature records in the past are different, it is reported as follows. Case Report 1 Zheng, female, 28 years old, married, worker. More than a year to intermittent palpitations, dizziness, each time lasted seconds. July 1, 1980 Conscious chest discomfort. On the night of July 2, when it was asleep, the family members awake after a quarrel, feeling palpitations, dizziness, then fainting and unconsciousness. Russia vomited after waking up again and again, hiccups, palpitations appear supine restless, sitting disappeared after the phenomenon. The next morning visit. Past physical health. After investigation, no similar cases of family members. Experience: Automatic position, good hearing. Heart dullness sector does not expand, seat rhythm Qi, heart rate 90 beats / min, less than a minute after supine appear systolic, several times after tachycardia, immediately after sitting rules as old. Apical part