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yxfbbiedtj · Wysłany: Wto 17:06, 08 Mar 2011

Patent ductus arteriosus, cardiac catheterization and differential diagnosis of the type of acts

: 452 ~ 5.4. BensonLN, cta1. Techniqueforclosureofthesmallpatentdu ~ usarteriosus. Beat usingtheRashkindoeeluder. CathetCardiova ~ cDiagn1988Il4: 88.5. Mao Jiwen and so on. And diagnostic cardiac catheterization. Changchun: Ancient Forest Press. 1979:17.6. Sheng Yuan phase. Heart x ray il first mutter Ge Seoul Tour: Black Dragon Hong person Kan Press, 1979:43 ~ 45.7. W. Hurst】 ct. Theheart, arteriesandvcins. 4thedNewY: McGi'aw-HillCompany, 1978:480.8. MommaK, eta1. Pulmonaryarteriogra-phythroughpatentdu ~ usalteri0SUSwithpreformedcathetersCathetCardiova8cDiagn1988I9: 319. (22H Received January 1988 g) To reverse the type of emotional case of ventricular tachycardia Hospital of Fujian Medical College attached to the Second Division Xuyou Rong Wu broom per patient, female 52 years old. In i986 on August 21 emergency hospital. Patients usually healthy, engaged in heavy physical labor, no palpitations, shortness of breath history. 4 years ago, after a fight sleep because of dizziness,[link widoczny dla zalogowanych], chest tightness, black Teng, then fell unconscious on the bed, limbs twitch, too small to incontinence, which lasted about 10 minutes. Waking in a hospital backward electrocardiogram and other tests were normal. 7 October, after an argument with people before the recurrence of paroxysmal black Teng, chest tightness. Since then, regular grind to participate in heavy physical labor. 3 hours before admission, after emotional feel dizzy, black gland, palpitations, chest tightness, immediately fell on the bed, then unconsciousness. Four convulsions, which lasted about 5 minutes. Mining hospital treatment on the way recurrence limbs pumping catch 1, continuing for several minutes. No similar family history. Admission examination} BP2I. 8 / 12. okPa (160 / ~ Ommrig), respiratory smooth, automatic position, Shen Qing, burnout. Lungs clear. No expansion of community heart, heart rate 56 beats / min, not the whole law, no noise. Re-admitted to hospital unconscious after minutes of more than lO, A limb convulsion, which lasted about 5 minutes, heart rate of 30 LDC / 9. ECG tracings and ECG showed ventricular tachycardia reversed type (see photo). Immediately to the lidocaine 50mg ~ W, injection and then given more than l0 surface glucose 259m1 + lidocaine 200rag to ling / min rate of infusion. After 45 minutes, neat as a sinus rhythm heart rate. Urgent review of blood k2.9mmol / L. Amnesty granted million clams that treatment, 8 days ~ ~ KClSg, 8 days after the ECG showed a QT 0.40s, QT = 0.41, see ECG beam room. Hospital 8 days after discharge from hospital to continue serving propranolol. Miscellaneous year follow-up. If still engaged in heavy physical action, not recurrent syncope, 8 January 1088 a review of ECG QT 0.40s. QTc = 0.41, flat light of Heart Rate lO0 / min after frequent PVCs, QTc0.41. Mining claims in recent years, most scholars discussed polymorphic ventricular tachycardia with Q - T asked to reverse the type of extension is to diagnose ventricular tachycardia Long prerequisites. The down cycle and clinical manifestations of heart Tuen found illegal infiltration torsade trampling Adams Room. 'Genetic Q - T interval ting long syndrome,[link widoczny dla zalogowanych], long QT inter-donation startling and emotionally related. Associated with nerve deafness is autosomal recessive, usually accompanied by abnormal T slope. No stretch razor deafness is autosomal dominant. In this case Q-T interval prolongation and mood fluctuations though,[link widoczny dla zalogowanych], but no deafness. Q-T Q j difficult to pronounce】 renewal, Chu Mi T wave alternans. After treatment to reverse ventricular rate Q 'Q of return to normal, no follow-up year, Q-T hybrid interval prolongation after exercise was 0-T no longer, and the onset of middle age,[link widoczny dla zalogowanych], no family history, can be ruled out hereditary Q -T term extension of mechanized with sign. Circle described in the body to reverse the resistance to ventricular electrophysiological arrest attack machine is currently limited understanding of the anchor. The Front Man by ventricular conduction disorders caused by uneven and delayed ventricular repolarization after depolarization induced triggered activity. Upon feeding rate may reverse type declared after the autonomic nervous emotional disorders, about smoked with heart failure strike a balance of sympathetic plot, the left sympathetic and relatively strong. And love germanium excited to reflex stimulation of Kui hysteria nerves,[link widoczny dla zalogowanych], catecholamines increase prompted Ca ¨ to the cells flow increased significantly prone to premature and partial metabolic hormone disorder extracellular potassium to promote Ca + + to avoid into the cell increased, causing delay after eradicate cited column is the trigger irrigation. (May 3 1988 s at closing Glaze