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病例:男,51岁。两年余共发作阵发性心房纤颤5次,每次持续5-8小时自愈,曾两次住院未能明确病因,从无意识障碍、抽搐、昏厥、肢体麻木及运动障碍。此次于1991年5月18日14时许,自觉心前区不适、心悸、脉不整,自测脉率88次/分。自服异搏定80mg,2小时后无好转,随去本单位门诊部,给予异搏定80mg、心得安20mg与潘生丁50mg顿服。服药后3小时30分钟感胸闷、烦躁,心率降至50次/分,遂肌注阿托品1mg无效,由医生陪送医院。病人于救护车上突感恶心欲呕、眩
Case: Male, 51 years old. More than two years of paroxysmal paroxysmal atrial fibrillation 5 times, each lasting 5-8 hours to heal, had two hospitalizations failed to clear the cause, from unconsciousness, convulsions, fainting, numbness and movement disorders. The May 18, 1991 at 14 am, conscious precordial discomfort, palpitations, irregular pulse, self-test pulse rate of 88 beats / min. Self-service verapamil 80mg, no improvement after 2 hours, go with the outpatient department of this unit, given verapamil 80mg, 20mg Andean and dipyridamole 50mg Dayton clothing. 3 hours and 30 minutes after taking medicine, chest tightness, irritability, heart rate dropped to 50 beats / min, then intramuscular injection of atropine 1mg invalid, accompanied by a doctor to the hospital. Suddenly sick in the ambulance patient vomit, dizzy