患者男性,23岁,因排尿时心悸发作1年余就诊。曾在外院诊断为“神经官能症”。实验室检查:三大常规正常,电解质:Na~+、K~+、Cl~-、Ca~(++)及CO_2CP均正常,胸透:双肺未见异常、心影正常。排尿时发作心悸时心电图(附图A)示窦性心律,P波高尖,P-R0.10—0.11秒,S-T下移0.75mV。T波无变化,窦性激动 Male patient, 23 years old, due to voiding heart palpitations attack more than 1 year treatment. Have been diagnosed in the hospital as “neurosis.” Laboratory tests: the three normal routine, electrolyte: Na ~ +, K ~ +, Cl ~ -, Ca ~ (++) and CO_2CP were normal, chest X-ray: no abnormal lungs, normal heart shadow. Urinary episodes of palpitations ECG (Figure A) shows sinus rhythm, P wave tip, P-R0.10-0.11 seconds, S-T down 0.75mV. T wave no change, sinus irritation