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尽管预激症候群大多发生于无明显器质性心脏病的健康人,预后一般较好,但如并发严重心律失常也可导致不良后果。我院将近期遇到一例预激症侯群伴心房颤动之青年人,因突然发生室颤而死亡,现报告如下: 男性,28岁,因持续心悸、陶闷近十四小时,于1978年5月18日上年入院。入院前一天晚上八时许,患者自0.5米高处跳到地面后,即感心跳剧烈,全身出汗,次晨心悸情况未见好转,来门诊就诊。以往身体健康,无心血管族病史。检查:T37℃,血压120/70mmHg,营养中等,发育良好,精神尚可,天气急紫绀,心尖搏动在锁中线第五肿间稍偏内侧,无震颤,心率约180次/分,极不规则,脉搏短拙,无病理性杂音。
Although most patients with pre-emphysema occur in healthy people without apparent organic heart disease, the prognosis is generally good, but if severe arrhythmias are associated with them, they can also lead to adverse outcomes. Our hospital will soon encounter a case of pre-emptive syndrome with atrial fibrillation of young people, died of sudden ventricular fibrillation, are as follows: Male, 28 years old, due to persistent heart palpitations, Tao boring nearly 14 hours in 1978 May 18 admission last year. Eight o’clock the night before admission, the patient jump from the height of 0.5 meters to the ground, that is, intense heart and body sweating, the morning morning palpitations did not improve the situation, to the clinic. In the past, good health, no history of cardiovascular family history. Check: T37 ℃, blood pressure 120 / 70mmHg, moderate nutrition, good development, the spirit is acceptable, the weather is acute cyanosis, apex beat in the middle of the lock line slightly swollen medial side, no tremor, heart rate of about 180 beats / min, very irregular , Pulse short, no pathological murmur.