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盐酸屈他维林(drotaverine hydrochloride)是一种直接作用于平滑肌细胞的亲肌性解痉药,相较于胆碱受体阻断类解痉药,它因通过抑制磷酸二酯酶达到使平滑肌舒张来解除痉挛,不影响植物神经系统,故不良反应少,安全性高,现发现1例口服盐酸屈他维林片后出现2级心悸的案例,报道如下。1临床资料患者,女,56岁,诊断为复发性卵巢癌。现因下腹部偶有胀痛不适、大便困难入院。既往有“糖尿病”1年余,平时予胰岛素“早10 U、晚8 U”控制血糖,血糖控制可;否认“高血压、
Drotaverine hydrochloride (HCl) is a direct acting on the smooth muscle cells of the myogenic spasmotropic drugs, compared with the cholinergic receptor blocking antispasmodic drugs, which by inhibiting phosphodiesterase to achieve smooth muscle Diastolic to relieve spasm, does not affect the autonomic nervous system, so fewer adverse reactions, high safety, it was found in 1 case of oral hydrochloride after taking valvulaline 2 grade palpitations, reported as follows. 1 clinical data, female, 56 years old, diagnosed as recurrent ovarian cancer. Occasionally due to lower abdominal pain and discomfort, stool difficulties admitted. Past ”diabetes “ more than 1 year, usually to insulin ”early 10 U, night 8 U “ control blood sugar, blood glucose control can be; denied ”high blood pressure,