论文部分内容阅读
患者女.66岁,因反复咳喘30年,加重伴尿少,双下肢水肿10天入院.根据病史、体征、心电图、胸片等诊断为“慢性肺原性心脏病”.入院后给予抗炎、利尿治疗未见好转,心率142次/分,窦性心律.考虑心功能不全,第一天上午9时推注西地兰0.2mg,心率未见减缓,下午9时再次推注西地兰0.3mg,30min后出现心房纤颤伴快速心室率,心率196次/分,心电图有可疑鱼钩状ST段改变.静脉滴注氢化钾液,门冬氨酸钾镁液及口服氯化钾、吸氧等治疗后,第二天早晨转为窦性心率,心率140次/分,考虑心功能仍未很好改善,上午11时第三次
66 years old, due to repeated cough and asthma for 30 years, aggravated with less urine, lower extremity edema admitted for 10 days.According to history, signs, electrocardiogram, chest radiography diagnosis of "chronic pulmonary heart disease. Inflammation, diuretic therapy did not improve, the heart rate 142 beats / min, sinus rhythm. Consider cardiac insufficiency, the first day of 9:00 am cedilanol 0.2mg, no slowing heart rate, 9:00 push the West again Orchid 0.3mg, 30 minutes after the occurrence of atrial fibrillation with rapid ventricular rate, heart rate 196 beats / min, electrocardiogram suspicious hook-like ST segment changes.Intravenous infusion of potassium hydride, potassium magnesium aspartate and oral potassium chloride , Oxygen and other treatment, the next morning into a sinus heart rate, heart rate 140 beats / min, consider the heart function has not been improved, the third at 11 am