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患者,男,70岁,胸闷、心悸反复发作10余年,因劳累后症状加重1d,于1993年6月21日拟诊为冠心病、频发室性早搏而收入院.体检:T36.7℃,P72次/min频发早搏,有时呈二联律.血常规正常.X线片心肺正常,心电图示:冠心病,频发室早.给10%葡萄糖250ml,能量合剂1支,门冬氨酸钾镁10ml静脉滴注.盐酸普罗帕酮片(心律平),150mg tid口服,24小时后出现一侧头部搏动性疼痛,影响进食及睡眠.暂停普罗帕酮后偏头痛随之消失.因频发早搏无好转,2天后,又口服普罗帕酮150mg tid,服药后又出现一侧头痛,检查脑电图正常,故又停药,
Patients, male, 70 years old, chest tightness, heart palpitations recurrent more than 10 years, due to fatigue symptoms 1d, on June 21, 1993 to be diagnosed as coronary heart disease, frequent premature ventricular contractions and admission to hospital. , P72 times / min frequency of premature beats, and sometimes was a couplet law. Normal blood. X-ray cardiopulmonary normal ECG: coronary heart disease, frequent room early. To 10% glucose 250ml, energy mixture 1, Potassium Magnesium 10ml intravenous infusion of propafenone hydrochloride tablets (rhythm flat), 150mg tid oral, 24 hours after the emergence of one side of the head and throbbing pain, affecting eating and sleep .After suspension of propafenone migraine disappeared. Due to frequent premature beat no improvement, 2 days later, oral propafenone 150mg tid, medication after another side of the headache, check the normal EEG, it is also discontinued,