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患者女性,25岁,工人,每逢吃海虾、螃蟹后立即出现荨麻疹,同时周身灼热感、心慌、胸闷。1988年10月5日误服海虾后上述症状复发,遂来院就诊。查体:T37.5℃ BP 16.0/10.5kPa,周身散在荨麻疹,以躯干为著。心率126次/min,节律绝对不齐,各瓣膜区无杂音,血WBC 11×10~9/L,N 70％,L23％,E7％。EKG示快速心房纤颤。立即给予10％葡萄糖酸钙10ml,地塞米松10mg,iv,30min后上述症状消失,荨麻疹逐渐消退,心律变规整,复查心电图呈窦性心律。讨论患者的心房纤颤随荨麻疹出现,又随荨麻疹的消退而终止。平素健康,无器质性心脏病,可认为房颤是由荨麻疹
Female patient, 25 years old, worker, every time eating shrimp, crabs urticaria immediately after, while whole body burning sensation, palpitation, chest tightness. October 5, 1988 after the above symptoms were rebuffed shrimp, then came to the hospital. Physical examination: T37.5 ℃ BP 16.0 / 10.5kPa, whole body scattered in urticaria, to the trunk as a. Heart rate 126 beats / min, rhythm is absolutely not Qi, the valve area without noise, blood WBC 11 × 10 ~ 9 / L, N 70%, L23%, E7%. EKG shows rapid atrial fibrillation. Immediately given 10% calcium gluconate 10ml, dexamethasone 10mg, iv, 30min after the above symptoms disappear, urticaria gradually subsided, rhythm of the heart becomes regular, ECG was sinus rhythm. Discussion Atrial fibrillation in patients with urticaria appears, but also with the disappearance of hives and termination. Usually healthy, no organic heart disease, can be considered atrial fibrillation is urticaria