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患者,女,44岁。患风湿性心脏病4年。因与家人急吵而自服地高辛片25mg(100片),2h后被其家人发现,立即送我院急诊科抢救。心电图提示:房颤心律,心室率130次/分。立即给予洗胃,静脉滴注极化液。洗胃过程中可见较多半成形药片。洗胃至液体澄清,总量为15000ml。5h后患者出现胸闷,心电图示:房颤伴Ⅲ度房室传导阻滞(Ⅲ°AVB),交界性逸搏心律,心室率42次/分。立即给予阿托品针1mg静注,使心室率维持在50～60次/分而收入病房。查体:体温36.4℃(腋下),脉搏
Patient, female, 44 years old. Suffering from rheumatic heart disease 4 years. Because of quarrel with his family and self-service, digoxin tablets 25mg (100 tablets), 2h after being discovered by his family, immediately sent to our emergency department. ECG tips: atrial fibrillation, ventricular rate 130 beats / min. Immediate gastric lavage, intravenous infusion of polar fluid. Gastric lavage shows more semi-formed tablets. Gastric lavage to fluid clarification, the total amount of 15000ml. 5h after the patient showed chest tightness, ECG showed: atrial fibrillation with Ⅲ degree atrioventricular block (Ⅲ ° AVB), borderline escape rhythm, ventricular rate 42 beats / min. Immediately given atropine needle 1mg intravenous infusion, the ventricular rate was maintained at 50 to 60 beats / min and income wards. Physical examination: body temperature 36.4 ℃ (armpit), pulse