近两年来,我科收治3例预激征后群快速心律失常应用异搏定均未转复,其中2例病情无变化,1例病情恶化,现报道如下: 例一:崔某,男,20岁。因心慌、气短4天,于1989年10月1日急诊入院,过去有先心病史,艾勃斯坦畸形,预激征后群B型,查体T36℃,血压为0,神志清楚,重病容,心率为200次/min,双肺湿罗者,腹软无压痛,肝脾未及,四肢湿冷。心电图报告预激征后群室上速,立即给静滴阿拉明、多巴胺升压,静注异搏定5mg无效,改用食道调搏超速抑制转为窦性心律。血压恢复正 In the past two years, our department received 3 cases of pre-challenge group after rapid arrhythmia application of verapamil have not been restored, of which 2 cases no change in condition, 1 case of deterioration, are reported as follows: Example 1: Choi, male, 20 years old. Due to palpitation, shortness of breath for 4 days, on October 1, 1989 emergency hospitalization, the past history of congenital heart disease, Eisi Stein deformity, pre-challenge group B type, physical examination T36 ℃, blood pressure 0, conscious, serious illness , Heart rate 200 beats / min, wet lung wet Luo, soft abdominal tenderness, liver and spleen are not, limbs cold. Pre-eclampsia ECG report of the upper chamber speed, immediately to intravenous Alamin, dopamine boost, intravenous Verapamil 5mg invalid, switch to esophageal pacing speeding into sinus rhythm. Blood pressure is positive