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例1 男,53岁,工人。因冠周炎牙痛,在某县医院肌注庆大霉素8万U,1小时后出现心悸,黑朦、晕厥、意识丧失、四肢抽搐,约2分钟自醒。心电图呈Ⅲ°AVB,起搏点位于左心室,心率43/min,律齐,有大炮音。经当地医院治疗,仍晕厥20余次,拟安装起搏器急诊入院。既往体健,无高血压及心绞痛史,近3周无感冒症状。心界不大,听诊与心电图同前。血常规正常。血钠、血钾、血钙分别139、4。1、2.5mmol/L。血沉、抗“O”、GOT、总胆固醇、β-脂蛋白、甘油三酯正常。诊断:Ⅲ度AVB(庆大霉素致)、阿斯综合征。用阿托品、地塞米松、心肌
Example 1 Male, 53 years old, worker. Due to pericoronitis, toothache in a county hospital intramuscular injection of 80000 U, 1 hour after palpitations, darkness, syncope, loss of consciousness, limbs convulsions, wake up about 2 minutes. ECG was Ⅲ ° AVB, pacemaker located in the left ventricle, heart rate 43 / min, law Qi, a cannon tone. The local hospital treatment, still fainting more than 20 times, intended to install pacemakers emergency admission. Past physical health, no history of hypertension and angina, no symptoms of cold in the past 3 weeks. Little heart, auscultation and ECG with the former. Normal blood. Serum sodium, potassium, calcium were 139,4.1,2.5 mmol / L. ESR, anti-“O”, GOT, total cholesterol, β-lipoprotein, triglyceride normal. Diagnosis: Ⅲ degree AVB (gentamicin induced), Aspergillus syndrome. With atropine, dexamethasone, myocardial