论文部分内容阅读
起搏器综合征临床上并不多见。现将我科收治1例报告如下。患者女性,55岁,主因间断心慌、胸闷15年,加重2月于89年3月11日入院。患者于1974年初无明显诱因出现心慌、胸闷、头昏、头痛、并出现晕厥,轻微四肢及口角抽搐,出冷汗,神志清楚,无大小便失禁,有恶心、呕吐,心率28次/分,诊断病态窦房结综合征给阿托品,654~2治疗无好转。86年11月12日按装VVI型心脏起搏器,起搏频率为60次/分,术后仍有头昏、心慌、乏力、恶心、呕吐,经对症处理2年无效,因上述症状加重2个月入我院进一步检查治疗。入院检查:血压94~116/60~80mmHg,双肺听诊正常,心界不大,心率50—78次/分,心律不齐,心尖部第一、二心音弱,心脏各瓣膜听诊区未闻及
Pacemaker syndrome clinically rare. Now we receive 1 case report is as follows. Female patient, 55 years old, mainly due to intermittent palpitation, chest tightness 15 years, increased in February on March 11, 89 admission. The patient had palpitation, chest tightness, dizziness, headache, faintness, slight limbs and mouth twitching, cold sweat, conscientiousness, incontinence, nausea, vomiting, heart rate 28 beats / min without apparent inducement in early 1974 Sick sinus syndrome to atropine, 654 ~ 2 no improvement in treatment. November 12, 86 According to the installation of VVI cardiac pacemaker, pacing rate of 60 beats / min, there are still dizziness, palpitation, fatigue, nausea, vomiting after 2-year symptomatic treatment due to the above symptoms worse 2 months into our hospital for further examination and treatment. Admission examination: blood pressure 94 ~ 116/60 ~ 80mmHg, lung auscultation normal, heart, heart rate 50-78 beats / min, arrhythmia, apex of the first, two heart sounds weak, the heart auscultation area has not heard and