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窦房连接区隐匿性折返伴窦房结隐匿夺获现象极为少见。报道一例如下: 患者,男,75岁。高血压病史10年,阵发性胸骨后闷痛2个月,加剧10天入院。患者两个月来体力劳累时感胸骨后闷痛,持续5～10min,近10天上述症状加剧伴心悸。检查:血压170/90,心率95次,心律不齐,早搏9次/min,心底部A_2>P_2,心尖区闻及Ⅱ°sm吹风样杂音。胸片左室扩大。眼底检查符合Ⅱ期高血压变化。
Sinus connecting area occult occlusion with sinus node occult seizure is extremely rare. An example is reported below: Patient, male, 75 years old. Hypertensive history of 10 years, paroxysmal suprasternal tenderness pain for 2 months, aggravating 10 days admission. Patients with physical pain during the past two months after the tenderness of the chest, sustained 5 ~ 10min, the past 10 days the above symptoms aggravated with palpitations. Check: blood pressure 170/90, heart rate 95 times, arrhythmia, premature beats 9 times / min, heart bottom A_2> P_2, apical area smell and Ⅱ ° sm hair-like noise. Chest X-ray enlargement. Fundus examination in line with changes in stage Ⅱ hypertension.