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患者男性,84岁.因心律失常17年,加重2年,于1989年8月25日入院.17年前出现心动过缓(48—55次/min).近14年来常发生短阵房速(持续2—9h),尤其近2年发作更频繁,并有阵发性房扑、房颤等其他心律失常.房颤最长持续时间38h,心室率80—100次/min.发作快速心律失常时有心悸感,尚能耐受,从无昏厥史.无高血压、高脂血症、糖尿病史.体检:一般情况良好,血压16.0/9.33kPa,呼吸20次,心率65次,律齐,无杂音.肺无罗音,肝肋下1cm,软,无压痛,脾未扪及.下肢不肿.实验室检查:X线胸片,心脏不增大,主动脉弓延长;彩色多普勒超声心动图示乳头肌反光增强,心肌、心
Male patient, age 84. 17 years due to arrhythmia, aggravating 2 years, admitted to hospital on August 25, 1989. Bradycardia (48-55 beats / min) occurred 17 years ago. Atrial fibrillation occurred frequently in the past 14 years (Continued 2-9h), especially in the past two years more frequent seizures, and paroxysmal atrial flutter, atrial fibrillation and other arrhythmias, the longest duration of atrial fibrillation 38h, ventricular rate 80-100 beats / min attack fast heart rhythm No palpitations, no history of hypertension, hyperlipidemia, diabetes mellitus, etc. Physical examination: generally good, blood pressure 16.0 / 9.33kPa, breathing 20 times, heart rate 65 times, law Qi , No noise. Lung non-rales, hepatic ribs 1cm, soft, no tenderness, the spleen is not palpable .Lys limbs are not swollen.Laboratory examination: X-ray, the heart does not increase, aortic arch extension; color Doppler ultrasound Cardiogram Enhanced papillary reflex, myocardium, heart