论文部分内容阅读
本文报导64例老年人心脏病心衰,用洋地黄维持量引起的洋地黄中毒。文中分析肾功能减退,心肌损害,细胞内低钾,低血镁及不典型风湿活动为老年洋地黄中毒主要诱因。洋地黄中毒的 EKG 改变仍以室性异位节律为主,当出现过缓心律时注意病窦的可能,可疑交叉的心律紊乱用地高辛放免测定鉴别十分重要。中毒的死亡率高,用扩管治疗对预后有明显改观。
This article reports 64 cases of heart failure in elderly patients with digitalis retention caused by digitalis poisoning. Analysis of renal dysfunction, myocardial damage, intracellular hypokalemia, hypomagnesemia and atypical rheumatoid activity of the main causes of digitalis poisoning in older. Digitalis change is still dominated by ventricular ectopic rhythm, when there is too slow to pay attention to the possibility of sick sinus disease, suspected cross-heart rhythm with digoxin radioimmunoassay determination is very important. The high mortality rate of poisoning, with the expansion of the prognosis of the treatment significantly improved.