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材料得自一醫院中自1940-1957年中診斷爲洋地黃中毒的病例。診斷的根據是在服用洋地黃後發生的中毒症狀及心電圖的變化,而且在停用洋地黃後除少數死亡病例外,中毒症狀及心電圖變化逐渐消失。此148例中75例爲男性,73例爲女性,絕大多數病例在未用洋地黃前心力衰竭已極爲嚴重,若按紐約心臓學會的分類,其中117例即79％心力衰竭的程度應歸併於Ⅲ及Ⅳ級中,有6例死亡的原因經分析認爲是由於洋地黃中毒所致,其中5例會作尸體解剖,均朱發現中毒致死的解剖病變。 在此148例中最常見的早期症狀爲食欲不振、惡心及心律不整。其次即爲心力衰竭的症狀轉劇,此點可以證明的即在停用洋地黃後心力衰竭的症狀反見好轉。中毒症狀的開始發生至臨床确定診斷期間差別甚
Materials were obtained from a hospital diagnosed with digitalis poisoning from 1940 to 1957. The diagnosis was based on the symptoms of poisoning and changes in ECG after taking digitalis and, with the exception of a few deaths after discontinuation of digitalis, the symptoms of poisoning and ECG changes gradually disappear. Of the 148 cases, 75 were male and 73 were female. The vast majority of cases were already severely congenital heart failure without digitalis prior to heart failure. According to the New York Heart Association class, 117 of them, or 79%, had heart failure Inclusion in grade III and IV, 6 were the cause of death was analyzed as due to digitalis poisoning, of which 5 cases will be autopsy, all Zhu poisoning death of anatomical lesions. The most common early symptoms in 148 cases were loss of appetite, nausea and arrhythmia. Followed by the symptoms of heart failure turned drama, this point can be proved that the disabled after the failure of digitalis anti-heart reverse improvement. The onset of symptoms of poisoning occurs very differently during clinical confirmation of the diagnosis