摘要
晕厥是临床常见症状,指一过性脑血流低灌注而导致的意识丧失,具有病情发展快、一过性、自限性等特点。本例患者晕厥反复发作且不可预测,发作时伴有阿斯综合征表现,且在胸外按压后出现室上性心动过速,且有一过性心脏停搏,最长停搏时间达10 s,诊断为:血管迷走性晕厥(心脏抑制型),窦性心脏停搏,房室传导阻滞,给予DDDR型双腔心脏起搏器+植入型复律除颤器(ICD)植入术,术后预后良好。
Syncope is a clinical common symptom with whole brain low blood perfusion,lead to loss of consciousness,characteristics with happen quickly,transient,self-limited and so on.This patient with recurrent syncope is unpredictable,attacked with Aase's syndrome,and ventricular tachycardia after in chest compressions,cardiac arrest,and the longest time was 10 s,clinical diagnosis:vasovagal syncope(cardiopulmonary arrest),sinus arrest,atrioventricular block,then given DDDR dual-chamber pacemaker+ICD implantation,and had a good prognosis.
作者
聂慧娟
黄织春
NIE Huijuan;HUANG Zhichun(Department of Cardiovascular Medicine,the Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010059,China)
出处
《实用心脑肺血管病杂志》
2020年第12期138-140,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
内蒙古自治区自然科学基金面上项目(2016MS(LH)0802)。
