论文部分内容阅读
病例报告:女,57岁,农民,住院号1829.因突发心慌、胸闷16小时于1990年11月21日下午4时入院.入院前16小时无明显诱因地在睡眠中憋醒,感心慌、心闷、心前区不适,两手尖麻木.9小时前在当地诊所服感冒药无效,遂来我门诊以“频发室性早搏二联律”收入院.患者平素体健,无特殊病史、查体T36.5℃、P100次/分、R26次/分、Bp21/12Kpa.神清,自动体位.面部和躯干皮肤有多片色素脱失.头颈部正常,心界不大,心率110次/分,心律不齐呈三联律.肺及腹部正常.神经系统检查无异常.化验:RBC3.8×10~(12)/L,Hb115g/L,WBC163×10~9/L,N80%,L20%.心电图提示:窦性心动过速,频发室性早搏,二联律.初诊
Case report: Female, 57 years old, farmer, hospital number 1829. Due to sudden palpitation, chest tightness 16 hours on November 21, 1990 at 4:00 in the hospital admission 16 hours before no obvious incentive to wake up in sleep, feel flustered , Heart boredom, precordial discomfort, numbness of both hands .9 hours ago in the local clinic service cold medicine invalid, then come to my clinic to “frequent ventricular premature beats two joint law” income hospital .Physicians usually no health, no special history , Physical examination T36.5 ℃, P100 beats / min, R26 beats / min, Bp21 / 12Kpa. God clear, automatic body position. Facial and trunk skin with multiple pieces of pigment loss. Head and neck normal, heart is not big, heart rate 110 times / min, arrhythmia showed triple law.Lungs and abdomen were normal.Neurological examination was normal.Experiment: RBC3.8 × 10-12 / L, Hb115g / L, WBC163 × 10-9 / L, N80 %, L20%. ECG tips: sinus tachycardia, frequent ventricular premature beats, two association law.