论文部分内容阅读
患者女,54岁。以心悸,头晕,恶心1小时为主诉就诊。既往有多次阵发性室上性心动过速(PSVT)发作史。查体:神志清。血压测不到。HR170次/分。律齐,心脏未闻及杂音。ECG示PSVT。静注异搏停2.5mg,3分钟后转为窦性心律。转复后第一个窦性心动(Ⅱ导联连续记录)P-R=0.10秒,有δ波,QRS畸形,为WPW。第二个心动开始出现S波(其中第四心动无S波,第二及第三心动S波较窄),V_1呈RSR′形
Female patient, 54 years old. To heart palpitations, dizziness, nausea, mainly for treatment. Previously had multiple episodes of paroxysmal supraventricular tachycardia (PSVT). Physical examination: clear mind. Blood pressure can not be measured. HR170 beats / min. Law Qi, the heart did not smell and noise. ECG shows PSVT. Intravenous injection of verapamil stop 2.5mg, 3 minutes into sinus rhythm. The first sinus heartbeat (Ⅱ lead continuous recording) P-R = 0.10 seconds, δ wave, QRS deformity, WPW. The second heart began to appear S wave (of which the fourth heart without S wave, the second and third cardiac S wave is narrow), V_1 was RSR ’shaped