缩窄性心包炎合并病态窦房结综合征案
发布时间：2019-08-02 20:50
【摘要】：正患者,男,63岁,农民,于2015年3月23日因"反复出现颜面部及双下肢水肿伴乏力1年余"就诊,查心电图:窦性心动过缓并不齐性窦性停搏伴交界性逸搏,房性早搏伴短暂性房速,心肌复极异常;心脏彩超示:双房增大(左房内径5.0 cm,右房内径5.9 cm,射血分数56%)。查胸部CT平扫示:心包膜广泛钙化,不除外缩窄性心包炎;心影增大。动态心电图示:1.窦性心动过缓偶发多源性室早,部分成
[Abstract]:The positive patient, male, 63 years old, farmer, was treated on March 23, 2015 for "recurrent facial and bilateral lower extremity edema with fatigue for more than 1 year". Electrocardiogram (ECG): sinus bradycardia with uneven sinus arrest with borderline escape, atrial premature beat with transient atrial tachycardia, abnormal myocardial repolarization, cardiac color ultrasound: biatrial enlargement (left atrial diameter 5.0 cm, right atrial diameter 5.9 cm, ejection fraction 56%). Chest CT plain scan showed extensive calcification of pericardium, no external constrictive pericarditis, and enlarged pericardium. Dynamic ECG diagram: 1. Sinus bradycardia occasionally occurs polygenic ventricular premature, some of which are characterized by bradycardia and bradycardia, and some of them are associated with sinus bradycardia.
【作者单位】： 广州中医药大学第一临床医学院;广州中医药大学第一附属医院肿瘤中心一区;
【分类号】：R246.1;R249
本文编号：2522357
[Abstract]:The positive patient, male, 63 years old, farmer, was treated on March 23, 2015 for "recurrent facial and bilateral lower extremity edema with fatigue for more than 1 year". Electrocardiogram (ECG): sinus bradycardia with uneven sinus arrest with borderline escape, atrial premature beat with transient atrial tachycardia, abnormal myocardial repolarization, cardiac color ultrasound: biatrial enlargement (left atrial diameter 5.0 cm, right atrial diameter 5.9 cm, ejection fraction 56%). Chest CT plain scan showed extensive calcification of pericardium, no external constrictive pericarditis, and enlarged pericardium. Dynamic ECG diagram: 1. Sinus bradycardia occasionally occurs polygenic ventricular premature, some of which are characterized by bradycardia and bradycardia, and some of them are associated with sinus bradycardia.
【作者单位】： 广州中医药大学第一临床医学院;广州中医药大学第一附属医院肿瘤中心一区;
【分类号】：R246.1;R249
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