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患者男性,26岁,因心悸5天入院。查体:BP14/9.33kPa,甲状腺不肿大,双肺呼吸音清,心界不大,心率132次/分,律齐,无杂音。心电图及食管导联显示右束支阻滞型室速,电轴左偏,房室分离。X线胸片、心脏超声、化验T_(?)及T_4、血电解质、血沉和血酶等,均无异常发现。先后静脉注射利多卡因600mg、普鲁卡因胺0.75g、苯妥英钠300mg、澳苄胺250mg,维拉帕米(异搏定)10mg,安搏律定300mg等均未奏效,又予奎尼丁(6g/4天)转复以及口服胺
Male patient, 26 years old, hospitalized for 5 days due to palpitations. Examination: BP14 / 9.33kPa, thyroid enlargement, lung breath sounds clear, heart, heart rate 132 beats / min, law Qi, no noise. ECG and esophageal lead showed right bundle branch block type VT, left axis deviation, atrioventricular separation. X-ray, echocardiography, T_ (?) And T_4, blood electrolytes, erythrocyte sedimentation rate and blood enzymes, were found no abnormality. Intravenous injection of lidocaine 600mg, procainamide 0.75g, phenytoin sodium 300mg, benzylamine 250mg, verapamil (verapamil) 10mg, ambroxol 300mg and so did not work, but also to Quinn D (6 g / 4 days) and oral amine