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患者男,75岁,主因头晕5个月于1990年11月12日入院.发病前BP17.3～18.7/10.7～11.5kPa,HR68～82次/分.入院前5个月因头晕首诊时,BP至14.7/9.3kPa,HR降为50次/分,ECG示窦缓.门诊按“颈椎病、冠心病”予以脑益嗪、培他啶、消心痛等治疗5个月,病情无改善,且出现精神萎靡、乏力、思睡等,查血压和心率仍偏低,ECG示窦缓而来院,拟“颈椎病,冠心病不除外”收入院.入院查体:BP13.3/8.5kPa,神清,表情淡漠呈嗜睡状态,寡言,脑神经(一),面色稍红,HR51次/分,律齐,四肢肌力V~o,腱反射可引出但迟钝,病理征(一).Holter示窦缓,心率最慢38次/分,最快72次/分,偶发房早.颈椎X线(一).超声脑血流图正常.既往有慢性胃炎、双膝关节炎多年,常年服乐得胃、盖胃平、布洛芬等.服用培他啶、乘晕宁、消心痛、人参皂甙6天后,病情却加重,BP为12.8/8kPa,HR为50次/分,ECG示窦缓,P—R间期延长至0.21秒,V_2～V_4T波稍高.其他体征和症
The patient, 75 years old, was hospitalized for dizziness for 5 months on November 12, 1990. Before onset, BP17.3-18.7 / 10.7-11.5 kPa and HR68-82 beats / min. , BP to 14.7 / 9.3kPa, HR decreased to 50 beats / min, ECG showed slow sinus.Outpatient press “cervical spondylosis, coronary heart disease” to brain Yizhi, traitadine, and other anti-heartache treatment for 5 months, the condition did not improve , And appear apathetic, weakness, asleep, etc., check the blood pressure and heart rate is still low, ECG showed slow sinus to the hospital, to be “cervical spondylosis, coronary heart disease not excluded” income hospital admission examination: BP13.3 / 8.5kPa , Shen Qing, expression of indifference was drowsiness, reticent, cranial nerve (a), slightly reddish look, HR51 beats / min, law Qi, limb muscle strength V ~ o, tendon reflex can lead to but slow, pathological sign (a). Holter showed slow sinus, the slowest heart rate of 38 beats / min, the fastest 72 beats / min, sporadic room early. Cervical X-ray (a). Ultrasound cerebral blood flow normal. Past chronic gastritis, knee osteoarthritis for many years, perennial Take deserved stomach, cover stomach flat, ibuprofen, etc .. Taking picotidine, by Haloxing, eliminate heartache, ginsenoside 6 days later, the condition was aggravating, BP was 12.8 / 8kPa, HR 50 beats / min, ECG sinus Slow, P-R interval extended to 0.21 seconds, V_2 ~ V_4T wave slightly higher Signs and symptoms