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例1 患者,男,72岁。因活动时头晕、乏力1年,意识错乱、烦躁、尿失禁1天入急诊科。心电图显示Ⅲ度房室传导阻滞(AVB),心室率40/min。应用阿托品和异丙肾上腺素静滴无效,治疗中发作2次意识丧失,全身抽搐,即给经胸壁心内膜单极起搏,起搏功能良好,起搏频率70/min,未再发作阿-斯综合征。接着作经静脉心内膜临时起搏术,第7天给埋藏永久性起搏器。最后诊断为扩张型心
Example 1 patient, male, 72 years old. Dizziness due to activities, fatigue 1 year, confusion, irritability, urinary incontinence 1 day emergency department. ECG showed third degree atrioventricular block (AVB), ventricular rate 40 / min. Application of atropine and isoproterenol intravenous infusion, the treatment of episode 2 loss of consciousness, generalized convulsions, that is, to the thoracic endocardial monopolar pacing, pacing function well, pacing rate 70 / min, no further attack - Syndrome. Followed by temporary intravenous endocardial pacing, the first 7 days to the buried permanent pacemaker. The final diagnosis of dilated heart