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1 临床资料 例1,女,61岁。因反复发作性心前区疼痛2年,加重1有入院。有慢性咳嗽、咯痰病史多年。体检:神清,桶状胸,双下肺闻及细湿啰音,心率64次/min,律不齐,早搏10～15次/min。心电图:窦性心律,多发房性早搏,慢性冠状动脉供血不足。入院诊断:冠心病,心绞痛,多发房性早搏;慢性支气管炎,肺气肿,肺部感染。经用消心痛、硝苯啶及抗生素治疗,心绞痛缓解,双肺底哕音减少。为治疗房性早搏口服普罗帕酮150 mg/8 h,服药后第2天(普罗帕酮总量450 mg),患者突感胸闷、头
1 clinical data example 1, female, 61 years old. Because of repeated episodes of pre-cardiac pain for 2 years, an increase of 1 admission. Chronic cough, sputum history for many years. Physical examination: Shen Qing, barrel chest, double lower lung smell and fine wet rales, heart rate 64 times / min, irregular, premature beat 10 to 15 times / min. ECG: sinus rhythm, multiple atrial premature beats, chronic coronary insufficiency. Admission diagnosis: coronary heart disease, angina, multiple atrial premature beats; chronic bronchitis, emphysema, lung infection. After the treatment of heartburn, nifedipine and antibiotics, angina relief, reduced lung bottom 哕 tone. For the treatment of atrial premature be taken propafenone 150 mg / 8 h, 2 days after taking the drug (propafenone total 450 mg), the patient suddenly felt chest tightness, head