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病例报告患者,男性,68岁。1987年2月19日入院。诊断冠心病、心房纤颤、乳头肌功能不全、心力衰竭。心电图:房颤,心室率110/min,Q-T间期0.36sec,左室肥厚,心肌缺血。入院后给予地戈辛0.25mg/d,消心痛10mg/次,每日3次口服,双氢克尿塞25mg/次,每日2次口服,氯化钾1.0/次,每日3次服,治疗1周心衰基本纠正,双肺罗音消失,能平卧,心率80次/min,仍有房颤。于2月25日加服乙胺碘呋酮(AI)0.2mg/次,每日3次。3月3日,心率50次/min,心音低钝,心律绝对不整,自觉无力、胸闷。心电图示房颤伴Ⅱ度房室传导阻滞(Ⅱ°-
Case report patient, male, 68 years old. February 19, 1987 admission. Diagnosis of coronary heart disease, atrial fibrillation, papillary muscle dysfunction, heart failure. ECG: atrial fibrillation, ventricular rate 110 / min, Q-T interval 0.36sec, left ventricular hypertrophy, myocardial ischemia. Admitted to digoxin 0.25mg / d, ecstasy 10mg / times, 3 times daily oral, hydrochlorothiazide 25mg / times, 2 times a day orally, potassium chloride 1.0 / times 3 times daily service for 1 week Basic failure to correct heart failure, bilateral lung rales disappeared, supine, heart rate 80 beats / min, there is still atrial fibrillation. On February 25 plus service amiodarone (AI) 0.2mg / time, 3 times a day. March 3, heart rate 50 beats / min, heart sound low blunt, heart rate is not the whole, consciously weak, chest tightness. Atrial fibrillation with atrial fibrillation Ⅱ degree atrioventricular block (Ⅱ ° -