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1 病例摘要 患儿,女,10岁。运动后出现阵发性心慌、胸闷、气短、心动过速2个月,复发并持续6h,于1991年3月19日入院。体检:一般情况可,双肺无异常,心率200/min,律齐,无杂音。血压12.0/8.0kPa。胸片示心肺无异常,超声心动图及心功能检查均正常。化验:ESR、CPK、LDH、ALT、GOT均正常。既往无器质性心脏病史。心电图示心动过速,室率200/min,电轴右偏,QRS呈右束支传导阻滞(RBBB),QRS时限0.10-0.11s。疑为室上速伴差异性传导。经压眼球和颈动脉窦等迷走神经刺激及食管心房调搏超速起搏抑制均无效,静注异搏定1.2mg后心动过速终止,心律转为窦性。以后异搏定60mg/d口服维持。5个月后因
1 case summary children, female, 10 years old. After the onset of paroxysmal palpitation, chest tightness, shortness of breath, tachycardia 2 months, recurrence and continued 6h, on March 19, 1991 admission. Physical examination: the general situation can be, no abnormal lungs, heart rate 200 / min, law Qi, no noise. Blood pressure 12.0 / 8.0kPa. Chest X-ray showed no abnormal heart, echocardiography and cardiac function tests were normal. Assay: ESR, CPK, LDH, ALT, GOT are normal. No previous history of organic heart disease. ECG showed tachycardia, room rate 200 / min, axis deviation, QRS showed right bundle branch block (RBBB), QRS duration 0.10-0.11s. Suspected to be on the room with the speed difference with the transmission. After pressure eye and carotid sinus and other vagus nerve stimulation and esophageal atrial pacing over-speed pacing inhibition are invalid, intravenous verapamil 1.2mg after the termination of tachycardia, heart rate to sinus. After verapamil 60mg / d oral maintenance. 5 months after