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1临床资料患者男性,33岁,因发作性心悸4年,感冒后发热咳嗽1天住入某医院。当时查体:体温39℃,心率98次/分,心律绝对不齐,心尖部闻及柔和的舒张期杂音,诊断为风心病,二尖瓣狭窄,心房纤颤;上呼吸道感染。给予地高辛0.25mg/日口服,并静脉滴注氨苄青霉素,1天后体温下降。但心悸加重伴胸闷,心率增快至110次/分,给毛花甙C 0.4mg/日。两天后,因心悸、胸
1 Clinical data Male patients, 33 years old, 4 years due to episodes of heart palpitations, cough after a cold fever 1 day admitted to a hospital. At that time physical examination: body temperature 39 ℃, heart rate 98 beats / min, the heart rhythm is absolutely missing, the apical smell and gentle diastolic murmur, diagnosis of rheumatic heart disease, mitral stenosis, atrial fibrillation; upper respiratory tract infection. Give digoxin 0.25mg / day orally, and intravenous ampicillin, 1 day after the temperature drops. However, aggravated heart palpitations with chest tightness, heart rate increased to 110 beats / min, to Ceratoside C 0.4mg / day. Two days later, because of heart palpitations, chest