论文部分内容阅读
颈心综合征临床上较少见,现将作者在1985—1989年中,遇到2例报告如下: 例1:患者男,45岁。因发作性胸闷、心慌、昏厥10月余入院。10个月前,常因转动头颈时出现一过性的头昏、胸闷、心慌、气短、昏厥,每次发作时心率20—40次/分,心电图提示:高度或完全性房室传导阻滞。在某院按“冠心病”给予降血脂、抗凝、抗心律失常、扩冠药物治疗8个月,效果欠佳,病情时轻时重,反复发作入院。查体:心肺正常、颈椎X线片示:颈椎生理弓度变直,颈椎体5、6、7前后缘骨密度增高,形态变尖,其相应的椎间孔变小。心电图提示:窦性心律、齐,心率60次/分,不完全右束支传导阻滞。
Cervical heart syndrome is clinically rare, now the author in 1985-1989, encountered two cases are reported as follows: Example 1: Male patient, 45 years old. Due to the onset of chest tightness, palpitation, fainting more than 10 months admitted to hospital. 10 months ago, often due to rotation of the head and neck when there was a transient dizziness, chest tightness, palpitation, shortness of breath, fainting, each attack heart rate 20-40 beats / min, ECG Tip: a high degree or complete atrioventricular block . In a hospital according to “coronary heart disease” to give hypolipidemic, anticoagulant, anti-arrhythmia, crown drug treatment for 8 months, the effect is poor, the condition of light weight, recurrent admission. Physical examination: normal heart and lung, cervical X-ray showed: cervical physiological straight bow, cervical vertebra 5,6,7 anterior and posterior border bone density increased, the shape of the tip, the corresponding foraminal smaller. ECG tips: sinus rhythm, Qi, heart rate 60 beats / min, incomplete right bundle branch block.