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预激综合征(W-P-W)伴心房纤颤(房颤)极易诱发室颤死亡,是急危重症。临床少见。既易误诊,也易误治。本文报告1例W-P-W 伴房颤的典型病例,两次急诊。第一次误诊为室速,下壁心肌梗死,予利多卡因、乙胺碘呋酮治疗基本对症。第二次确诊为 W-P-W 伴房颤,应用钙离子拮抗剂,属用药失误。W-P-W 一般分 A、B 两型,心电图均可能类似下壁心肌梗死,经旁路传导的快速心律失常易误诊为室速,但用药可能还是适当的。W-P-W 伴房颤的治疗首选普鲁
Wolff-Parkinson-White syndrome (W-P-W) with atrial fibrillation (atrial fibrillation) can easily induce ventricular fibrillation death, is critically critical. Clinical rare. Not only easy to misdiagnosis, but also easy to mistreatment. This article reports a case of W-P-W with a typical case of atrial fibrillation, two emergency. The first misdiagnosed as VT, inferior myocardial infarction, to lidocaine, amiodarone treatment of basic symptomatic. The second diagnosis of W-P-W with atrial fibrillation, the application of calcium antagonists, is a medication error. W-P-W generally points A, B two types of ECG may be similar to inferior wall myocardial infarction, bypass conduction tachyarrhythmia is often misdiagnosed as VT, but medication may be appropriate. W-P-W with the preferred treatment of atrial fibrillation