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预激综合征是较常见的一种心脏传导系统的疾病,其本身不产生任何症状,对患者无害;其 ECG 改变可貌似 CL_(BBB)等异常心电图,亦可拟似心肌梗塞者。报告6例本综合征合并阵发性心动过迷,其中例1一度误诊为急性下壁心肌梗塞,通过临床鉴别而及时得到确诊;例2病情较顽固,经电转复治疗效果显著;1984年的3例于79~83年反复三次发作房颤时均经西地兰、地戈辛治疗收到明显效果,与晚近文献报道洋地黄禁用不符,其机理仍值得深入探讨。
Wolff-Parkinson’s syndrome is a more common form of heart-conduction system that does not produce any symptoms on its own and is harmless to the patient. ECG changes may look like abnormal ECGs such as CL BBB, or they may be like myocardial infarction. Report of 6 cases of this syndrome with paroxysmal supraventricular tachycardia, of which case 1 was misdiagnosed as acute inferior myocardial infarction, through clinical identification and timely diagnosis; case 2 more stubborn, the effect of electrotherapy is significant; 1984 3 cases in 79 to 83 repeated episodes of atrial fibrillation three times were cedilanid, geoximin treatment received significant effect, and recent reports of digitalis disallowed disagreement, the mechanism is still worth exploring in depth.