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患者男性,17岁。因间歇性晕厥伴抽搐12年,此次发作2天于1992年8月23日入院。患者发作每年或隔年1次,发作前无明显诱因,发作时突然意识丧失伴全身抽搐,持续约几十s至2min左右神志恢复正常。发作间歇期正常从事农业劳动,2年前曾以癫痫治疗无效。入院发作末了心电图示窦性心动过速,频发多源性室早,阵发性室速并尖端扭转型室速。体检:T37.2℃,R20次/min,BP120/80mmHg(15.9/10.6kPa)。发育正常,营养中等,神志清楚。头颅无畸形,甲状腺无肿大。双肺呼吸音清晰,未闻罗音。心浊音界无扩大,未闻杂音,频发早搏9次/min左右,平均心率90次/min。腹部无殊。
Patient male, 17 years old. Due to intermittent syncope with convulsions for 12 years, the onset of 2 days in August 23, 1992 admission. Patients with seizures every year or every other year, no significant pre-seizure incentives, a sudden loss of consciousness with seizures with generalized convulsions, lasted for about a few ten s to 2min or so back to normal consciousness. Intermittent normal period engaged in agricultural work, 2 years ago, epilepsy treatment was invalid. At the end of admission episode of ECG showed sinus tachycardia, frequent multi-ventricular premature ventricular tachycardia and torsades de pointes ventricular tachycardia. Physical examination: T37.2 ° C, R20 times / min, BP120/80 mmHg (15.9/10.6 kPa). Normal development, moderate nutrition, conscious. No deformity of the skull, no swelling of the thyroid. Breath sounds clear lungs, did not hear rales. No dull heart sound sector, no unheard noise, frequent premature beats 9 times / min or so, the average heart rate 90 beats / min. No special abdomen.