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笔者曾遇到一些具有以下特点的传导阻滞病例.传导阻滞可因体位变化而出现或消失,如安静卧位时出现,经活动或立位而消失;或作吸气闭气试验,或注射阿托品亦可消失。经临床检查,如心脏听诊,X 线胸部检查,化验检查抗“O”,血沉,血脂分析以及眼底检查,二级梯运动试验,均无明确的器质性心脏病依据,现报告如下。临床资料及典型病例本组7例,均为男性.年龄18~56岁,其中窦房传导阻滞3例,第Ⅰ度房室传导阻滞2例,第Ⅱ度房室传导阻滞文氏现象2例。见表:例1、樊××,男,44岁,工人,于1977年5月19日入院。主诉:心悸,经心电图检查(如图1)为窦房传导阻滞,以病态窦房结综合征入院。体检:心脏每跳动4~5次即有一间歇,未闻杂音,心界不大,
I have encountered some of the following characteristics of the block cases of conduction block can occur due to changes in body position or disappear, such as quiet lying position, disappeared by the activities or standing position; or as inspiration and breath test, or injection Atropine can disappear. After clinical examination, such as auscultation, chest X-ray examination, laboratory tests against “O”, erythrocyte sedimentation rate, blood lipid analysis and fundus examination, two ladder exercise test, no clear organic heart disease basis, are as follows. Clinical data and typical cases of this group of 7 patients, both men, aged 18 to 56 years, of which 3 cases of sinoatrial block, Ⅰ degree atrioventricular block in 2 cases, Ⅱ degree atrioventricular block Phenomenon in 2 cases. See Table: Example 1, Fan × ×, male, 44 years old, worker, was admitted on May 19, 1977. Chief complaint: palpitations, ECG (Figure 1) for the sinoatrial block, to sick sinus syndrome admission. Physical examination: the heart beat every 4 to 5 times that there is a break, no unheard noise, the heart is not big,