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一位六十四岁患长期慢性阻塞性肺部疾病和充血性心力衰竭的妇女,因渐进性的呼吸短促四天,收入新泽西州某地方医院。患者一直服用地高辛每天0.25毫克。患者表现为严重的呼吸困难并伴有充血性心力衰竭的征候。心电图为窦性心律(心率68次/分)偶,发房性和室性早搏。立
A 64-year-old woman with long-term chronic obstructive pulmonary disease and congestive heart failure was admitted to a local hospital in New Jersey for four days because of her progressive respiration. Patients have been taking digoxin 0.25 mg daily. Patients presented with severe dyspnea and concomitant symptoms of congestive heart failure. ECG for sinus rhythm (heart rate 68 beats / min) even, room and ventricular premature beats. Stand