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患者男性,51岁,既往劳累后心悸气短24年,诊断为风湿性心脏病20年,二尖瓣替换术后八个月。此次因出现心房纤颤七个月于1987年9月4日入院。查体:意识清楚,一般情况良好。BP14.7/9.3kPa。唇无紫绀,颈软、对称,颈静脉无怒张。两肺清晰。HR104次/分,节律绝对不齐。肝脾未触及。双下肢无水肿。ECG:心房纤颤。胸片:心脏呈二尖瓣形,心胸比率0.53。化验:K~+、Na~+、Cl~-及肝肾功能正常。入院后10天行同步电复律,给予100瓦秒,一次成功转为窦律。心率维持在76～94次/分之间,但可见频
The patient, male, 51 years old, had a 24-year history of palpitation after a previous exertion, was diagnosed with rheumatic heart disease for 20 years and had mitral valve replacement eight months after surgery. The occurrence of atrial fibrillation seven months on September 4, 1987 admission. Examination: Consciousness, the general situation is good. BP14.7 / 9.3kPa. Lips without cyanosis, neck soft, symmetrical, jugular vein without tension. Both lungs clear. HR104 beats / min, rhythm is absolutely missing. Liver and spleen not touched. No lower extremity edema. ECG: Atrial fibrillation. Chest radiograph: the heart was mitral shape, cardiothoracic ratio 0.53. Laboratory tests: K ~ +, Na ~ +, Cl ~ - and liver and kidney function is normal. Synchronous cardioversion was performed 10 days after admission, giving a 100-watt second, and a successful conversion to sinus rhythm. Heart rate maintained at 76 to 94 beats / min, but visible frequency