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患者,男、45岁.因阵发性心悸4h—1992—01—21下诊入院。体检:精神紧张,面色略苍白,体温36.4℃,血压12.0/8.0kPa,心率180次/分,心律规整、无杂音。ECG 显示室上性心动过速,心脏 B 超示心肌收缩略弱。入院诊断:阵发性室上性心动过速。立即给鼻导管吸氧,心电监护,给25%葡萄糖20ml 加心律平70mg(中国上海信谊药厂生产870706—8,每20ml内含心律平70mg)5分钟静注完毕。此时病人自感心悸减轻,心率146次/分。当日下午4h 心律仍持续不降,给心律平35mg加25%葡萄糖20ml 内5分钟推注完毕。此时心律为窦性,心率87次/分,病人自感如常,只有轻微疲乏感,给安定10mg 肌注,以消除精神紧张。次日早8点出现室性早搏,3—5次/分。给慢心律片剂0.2每日三次口服,4日后早搏非但减少而明显
Patients, male, 45 years old due to paroxysmal palpitations 4h-1992-01-21 under the admissions. Physical examination: Mental stress, pale complexion, body temperature 36.4 ℃, blood pressure 12.0 / 8.0kPa, heart rate 180 beats / min, regular heart rhythm, no noise. ECG showed supraventricular tachycardia, cardiac B-ultrasound showed a slight myocardial contractions. Admission diagnosis: paroxysmal supraventricular tachycardia. Immediately to the nasal cannula oxygen, ECG monitoring, to 25% glucose 20ml plus rhythm flat 70mg (China Shanghai Xin Yi pharmaceutical production 870706-8, each containing 20ml rhythm 70mg) 5 minutes intravenously. At this point the patient feel palpitations reduce heart rate 146 beats / min. On the afternoon of 4h, the heart rate continued to decrease, giving a 35mg bolus of heart rhythm and 25ml of glucose within 5 minutes. At this point of the heart rate of sinus, heart rate 87 beats / min, the patient feel as usual, only a slight sense of fatigue, to stability and intramuscular injection of 10mg to eliminate mental stress. The next morning as early as 8 points premature ventricular contractions, 3-5 times / min. Slow heartbeat tablets 0.2 orally three times daily, 4 days after the premature beats not only reduced significantly