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β—受体阻滞剂和钙拮抗剂联用导致血压急剧下降及病情加重甚属少见,现将我们临床所遇2例报道如下: 例1,男性,49岁,因心慌、胸闷、乏力两日入院。体检:神清,血压17.29/13.30KPa,颈静脉明显充盈,双肺无湿罗音;心尖搏动位于第六肋间隙锁骨中线外2.5cm,叩诊心界明显向左下扩大,心率124次/分,律齐,第一、二心音减弱,各瓣膜区未闻杂音;肝脏于右季肋下3cm,剑突下5cm触及下缘,质软,无压
β-blockers and calcium antagonists combined lead to a sharp decline in blood pressure and exacerbations are rare, now we have 2 cases of clinical reports are as follows: Example 1, male, 49 years old, due to palpitation, chest tightness, fatigue two Day admission. Physical examination: Shen Qing, blood pressure 17.29 / 13.30KPa, significantly jugular vein filling, lungs without wet rales; apex beat in the sixth intercostal space outside the clavicle 2.5cm, percussion heart was significantly expanded to the lower left heart rate 124 beats / min, Law Qi, the first and second heart sounds weakened, the valve area did not smell noise; liver in the right quarter ribs 3cm, 5cm below the xiphoid touch the lower edge of the soft, no pressure