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患者女,64岁,汉族,退休工人。因头晕伴恶心、呕吐1周入院。既往有抑郁史。查体:心肺、血压正常,心电图正常。脑彩超检查示椎-基底动脉供血不足。诊断:(1)椎-基底动脉供血不足;(2)抑郁症。除给予扩张血管治疗外,用多虑平25mg,每日1次口服。患者于第9天出现频繁晕厥,测血压17/11kPa,心率54次/分,音钝。心电图:QT间期延长至0.85s,倒置的T波宽大圆钝。连续3天检查电解质、血清心肌酶谱、脑CT,均属正常。停用多虑平,其它治疗同前,并观察动态心电图,2天后QT间期缩短,心率渐增快,晕厥再未发生。3周后心电图恢复正常。
Patient female, 64 years old, Han nationality, retired worker. Due to dizziness with nausea, vomiting, 1 week admission. Past history of depression. Physical examination: cardiopulmonary, normal blood pressure, normal ECG. Cerebral color ultrasonography showed vertebral - basilar artery insufficiency. Diagnosis: (1) vertebral - basilar artery insufficiency; (2) depression. In addition to giving dilation of vascular treatment, with doxepin 25mg, 1 day orally. Patients on the 9th day appeared frequent syncope, measuring blood pressure 17 / 11kPa, heart rate 54 beats / min, blunt sound. ECG: QT interval extended to 0.85s, inverted T wave wide blunt. Check the electrolyte for 3 consecutive days, serum myocardial enzymes, brain CT, are normal. Stop taking more anxiety, other treatment with the former, and observe the dynamic electrocardiogram, 2 days after the shortening of the QT interval, heart rate gradually increased, syncope did not occur again. ECG returned to normal after 3 weeks.