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病例:男性,67岁。于18年前睡眠时突然出现上腹局限性疼痛,向咽喉部传导,伴有心悸、面色苍白、出汗,发作后心率达180次/分。18年来每遇情绪不佳,休息不好时发作,先后经10余家医院按冠心病和植物神经功能紊乱治疗,效果不佳。住院前1月每3～5天发作一次,给予静注西地兰后心率转为正常。发作时意识有时清楚,有时模糊,无大小便失禁。住院查体:上腹正中有2×2cm压痛点(发病时明显由此向颈部传导),心肺未见异常。B超检查肝、胆、胰、脾、肾及腹主动脉均正常,上
Case: male, 67 years old. 18 years ago when the sudden onset of upper abdominal pain, sudden throat conduction, accompanied by palpitations, pale, sweating, heart rate after the attack of 180 beats / min. 18 years in every case of bad mood, rest breaks when the attack, followed by more than 10 hospitals according to coronary heart disease and autonomic dysfunction treatment, the effect is not good. Pre-hospital January every 3 to 5 days attack once given intravenous cedilanid to normal heart rate. Awareness at the time of attack is sometimes clear, sometimes vague, and incontinent. Hospital examination: the middle of the abdomen there are 2 × 2cm tenderness point (when the onset of significant conduction to the neck), no abnormal heart and lung. B-ultrasound liver, gallbladder, pancreas, spleen, kidney and abdominal aorta were normal, on