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患者男,30岁。发作性心悸胸闷一周就诊。查体:血压16/10.7kPa(120/80mmHg),第一心音强弱不等,律不齐,心率100次/分,心界不扩大。既往有类似病史10多年,每次发作仅持续数秒至数分钟,憋气能使症状消失。临床诊断:心悸待查。心电图(附图)为Ⅱ导联连续描记,窦性 P 波规则均齐发生,有时因发生房室反复心搏侵入窦房结而引起窦房结节律重整,重整后仍规则。P_(1、3)后继以宽大畸形
Male patient, 30 years old. Syncope palpitations chest tightness week treatment. Physical examination: blood pressure 16 / 10.7kPa (120 / 80mmHg), the first heart sound intensity range, irregular, heart rate 100 beats / min, the heart does not expand. Past history of a similar 10 years, each episode lasts only a few seconds to several minutes, suffocation can make the symptoms disappear. Clinical diagnosis: palpitations pending investigation. Electrocardiogram (with photos) for the Ⅱ lead continuous tracing, sinus P wave rules are homogeneous, and sometimes because of atrioventricular repeated intrusion into the sinus node sinoatrial node rhythm caused by reorganization, rules after reorganization. P_ (1,3) followed by large deformity