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例1:男,59岁。因头昏、乏力、胸闷、心悸6小时入院。有阵发性室上性心动过速(PSVT)发作史8年。近两年发作不能自止。入院前2小时曾用ATP20mg稀释后快速静注无效。入院时血压14/10kPa,ECG:心率176次,QRS0.13s。结合以往病史诊断为A型预激综合征(WPW)伴逆传型PSVT。心电监护下,将ATP20mg加阿托品0.5mg用10％葡萄糖液混合稀释至10ml于8s内静脉推注。心电监护2minPSVT无变化,注药后约6min患者有瞬间心脏停跳感,自觉PSVT终止,立即描记ECG:心率68次,A型WPW,无其他心律失常。
Example 1: Male, 59 years old. Due to dizziness, fatigue, chest tightness, palpitations 6 hours admission. Have paroxysmal supraventricular tachycardia (PSVT) episode history of 8 years. The past two years episodes can not stop. Two hours before admission, ATP20mg diluted with intravenous injection quickly invalid. Admission of blood pressure 14 / 10kPa, ECG: heart rate 176 times, QRS0.13s. Combined with the history of the past diagnosis of type A WPW syndrome with retrograde type PSVT. ECG monitoring, the ATP20mg plus atropine 0.5mg diluted with 10% glucose solution to 10ml within 8s intravenous injection. ECG monitoring 2minPSVT no change, about 6min after injection of patients with transient cardiac arrest, PSVT conscious termination, immediately ECG: heart rate 68 times, type A WPW, no other arrhythmia.