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男,56岁。1969年用1％酒石酸锑钾20日疗法治疗血吸虫病。用药期间无特殊不适,疗程结束后1周即开始间歇心悸、胸闷及头晕,当时血压一直正常,心电图示频发性室性早搏,服心得安治疗未能控制,以后几乎每天均出现阵发性心悸,经常做心电图均示频发室性早搏(图1),仍能坚持日常工作和家务劳动,未再系统治疗。1989年8月15日入院时查:血压17.3/11.4kPa,自动体位,眼球不外突,甲状腺不肿大,颈静脉不充盈。双肺无罗音。心界不大,心率86次,闻及频发早搏,呈三联律,各瓣膜区无杂音。腹部体查无异常。心电图示频发室性早搏(三联律),P波正常,ST-T均正常,电轴不偏。入院后测血糖、血脂、抗“O”、血沉、T_3、T_4均正常。SGOT正常。胸片无心脏扩大,心脏B超无异常。予口服慢心律0.1g,3次/d,第4天室性早搏
Male, 56 years old. 1969 Treatment of schistosomiasis with 1% antimony potassium tartrate on the 20th. No special discomfort during the treatment period, intermittent palpitations, chest tightness and dizziness began 1 week after the end of treatment, blood pressure was normal at that time, ECG showed frequent premature ventricular contractions, convincing treatment failed to control, after almost paroxysm occurred every day Palpitations, ECG often show frequent premature ventricular contractions (Figure 1), still insist on routine work and housework, no further treatment of the system. August 15, 1989 admission check: blood pressure 17.3 / 11.4kPa, automatic position, the eye is no exception, the thyroid is not swollen, jugular vein is not full. Lungs without rales. Heart, heart rate 86 times, smell and frequent premature beats, was triple, the valve area without noise. Abdominal examination no abnormalities. ECG frequent premature ventricular contractions (triple law), P wave is normal, ST-T are normal, the electric axis is not partial. After admission blood glucose, blood lipids, anti-“O”, ESR, T_3, T_4 are normal. SGOT normal. No chest X-ray enlargement, no abnormalities in heart B ultrasound. To oral slow heart rate 0.1g, 3 times / d, 4 days premature ventricular contractions