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患者,男,21岁,反复心慌伴晕厥2年,再发心慌2天。患者于2年前多于剧烈活动后出现心慌,伴晕厥3次,无胸闷、胸痛、气促、发热等不适。发作时均在医院治疗(具体用药不详)后症状缓解,但呈反复发作。2年前被诊断为“致心律失常型右室心肌病,室性心动过速”给予ICD植入术。并长期服药治疗(倍他洛克, 能气朗等),症状控制可,近2月来因劳累出现反复发作心慌,发作时心率为110130/分,伴乏力食欲缺乏,稍活动感头晕,休息后可缓解,无胸痛、气促、发热等。否认家族性遗传病史,无结核、乙肝、血吸虫病史,无药物过敏史。

提问3:该患者可进一步诊断为[体检结果]①心电图检查:心房率75次/分,心室率127次/分,QRS波群形态畸形, P波与QRS波无关,QRS波频率>P波频率。 ②实验室检查:血常规:WBC 5.7G/L,N 53.82%, RBC 3. 73T/L,Hgb 67g/L, HCT 34.9%,PLT 119G/L。尿常规和大便常规正常。凝血功能:PT17.0s,INR1.42。肝肾功能电解质:总胆红素53.5μmol/L,直接胆红素23. 1μmol/L,γ-GT 310U/L,胆汁酸 14. 5μmol/ L,ALT 117U/L,AST 70U/L,清蛋白40. 4g/ L,球蛋白20. 6g/L; Cr 77. 3μmol/L,尿酸 463. 8μmol/L ;K+ 3.9mmol/L, Na+139mmol/L,C1-104mmol/L, Ca2+2.29mmol/L。血糖血脂:血糖4. 3mmol/L, TG 1. 91mmoI/L,TC 3.97mmol/L,HDL-C 1.16mmol/L,LDL-C 2.18mmol/L,Apo A1 1. L0g/L, Apo B 0.28g/ L。D-Dimer:0. 34mg/L(<0. 50mg/L)。

多选题
2021-07-17 21:57
A、房性心动过速
B、预激综合征
C、室性心动过速
D、心房颤动
E、心室颤动
F、室内传导阻滞
查看答案

正确答案
C

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