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病态窦房结综合征(简称SSS)是由于窦房结伴/或不伴心房的病变而产生心律失常并引起全身、神经及心脏等一系列表现的综合征。本文报告四例并结合文献作一阐述。例1,男,23岁,以晕厥伴经常头昏、胸闷三月余于1979年9月住院,体检心界不扩大,心率40次/分,律齐,无病理性杂音。胸片:心肺正常,心电图示窦性心动过缓(心室率为36～42次/分),先后经用阿托品及异丙基肾上腺素激发窦房结功能试验都未能使心率超过70次/分,诊断为SSS,这是一种以窦房结病变为主的心肌病。给予激素、大量维生素C及中药综合治疗,病情稳定,心率提高到50次/分左右。
Sick sinus syndrome (SSS) is due to the sinoatrial associated with / without atrial lesions and arrhythmias and cause systemic, nervous and cardiac manifestations of a series of syndromes. This article reports four cases combined with the literature for an elaboration. Example 1, male, 23 years old, with frequent syncope with dizziness, chest tightness March more than in 1979 September hospitalization, physical examination did not expand the heart, heart rate 40 beats / min, law Qi, no pathological murmur. Chest X-ray: normal cardiomyopathy, ECG shows sinus bradycardia (ventricular rate was 36 to 42 beats / min), has atropine and isoproterenol to stimulate the sinus node function test failed to make the heart rate more than 70 times / Points, the diagnosis of SSS, which is a sino-atrial node disease-based cardiomyopathy. To give hormones, a large number of vitamin C and traditional Chinese medicine comprehensive treatment, stable condition, heart rate increased to 50 beats / min or so.