室上性阵发性心动过速致发作性高血压1例报告

• 作 者: 于祖龙 姜德才 李华贵
• 机 构: 华西医科大学附一院内科,四川省涪陵卫校,华西医科大学附一院内科 进修生
• 出 处: 华西医讯
• 发表日期: 1988年02期
• 关键词: 发作性高血压 西地兰 嗜铬细胞瘤 心内电生理检查 后突 室上性心动过速 乙胺 阵发性心动过速 异搏定 肾素

室上性阵发性心动过速,常引起血压下降,而导致发作性血压增高少见,且易误诊为嗜铬细胞瘤。现报告1例。患者,男,40岁,工人。因反复心悸、头晕,伴阵发性血压增高17年,于1986年5月23日入院。1969年劳累后突感心悸、头晕、出汗,立即送医务室测血压21.3/12.0kPa(160/90mmHg)心率170/分,节律整齐,静脉注射西地兰后症状缓解,血压16.0(?)10.7kPa

Supraventricular tachycardia tachycardia, often caused by decreased blood pressure, which led to increased seizures rarely seen, and easily misdiagnosed as pheochromocytoma. Now report 1 case. Patient, male, 40 years old, worker. Due to repeated palpitations, dizziness, with paroxysmal blood pressure increased 17 years, in May 23, 1986 admission. 1969, tired after feeling palpitations, dizziness, sweating, and immediately sent to the medical office to measure blood pressure 21.3 / 12.0kPa (160 / 90mmHg) heart rate 170 / min, rhythm and neat, intravenous cydia relieve symptoms, blood pressure 16.0 (? 10.7kPa