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患者,女,18岁。因反复晕厥3小时于1986年10月6日入院。患者5天前感冒,近2日出现阵发性心悸胸闷,入院前3小时内发作晕厥、抽搐3次。既往无发作性心悸史。体检:T37℃,脉搏摸不清,R20次/分,BP 8.5/7.5 kPa。肺无罗音,心界不大,HR224次/分,律齐,无杂音。WBC23.2×10~9/L,N0.89,L0.08,E0.03,电解质正常,GOT175u。ECG示阵发性室上性心动过速(PSVT),室率224次/分。入院数分钟,突然意识丧失,抽搐,心音听不到,颈动脉搏动消失。紧急人工心脏胸外按压和吸氧处理,片刻,神志恢复,ECG示P-R0.10s,QRS为室上性,呈James预激之图形。入院经抗心律失常、激素、静脉输液等治疗,病情稳定,各项化
Patient, female, 18 years old. Due to repeated syncope 3 hours in 1986 October 6 admission. 5 days before the patient had a cold, paroxysmal palpitations chest tightness nearly 2 days, syncope 3 hours before admission, convulsions 3 times. No history of episodes of heart palpitations. Physical examination: T37 ℃, pulse puzzled, R20 beats / min, BP 8.5 / 7.5 kPa. Lung rales, heart is not big, HR224 times / min, law Qi, no noise. WBC23.2 × 10 ~ 9 / L, N0.89, L0.08, E0.03, normal electrolyte, GOT175u. ECG showed paroxysmal supraventricular tachycardia (PSVT), room rate of 224 beats / min. A few minutes after admission, a sudden loss of consciousness, convulsions, heart sounds can not be heard, carotid artery pulse disappeared. Emergency artificial heart chest compressions and oxygen treatment, a moment, conscious recovery, ECG showed P-R0.10s, QRS for the supraventricular was James pre-excited graphics. Admission anti-arrhythmia, hormones, intravenous fluids and other treatment, stable condition, various