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患者,女,29岁,3年来时有胸闷心悸,近5天来加剧,于1983年8月5日入院。当时心律不齐,P84次,心电图检查示心房纤颤。经X 线,ECG 及实验室等检查,临床诊断:肥厚性心肌病,慢性心衰,心房纤颤。入院后予以强心利尿等治疗,用狄高辛0.25mg一次/日,第三天加用乙胺碘呋酮0.2g2次/日,至8月14日心率突然减慢至52次/min,乃予以喘息定含化后急作心电图示:左房心律,便停用狄高辛及乙胺碘呋酮,至8月18日复查仍为左房心律。因不合作,于8月24日自动出院,出院当日听诊,心律规则,心率64次.
The patient, female, 29 years old, had chest tightness and palpitations in 3 years and intensified in the past 5 days. She was admitted on August 5, 1983. Arrhythmia at that time, P84 times, ECG showed atrial fibrillation. The X-ray, ECG and laboratory tests, clinical diagnosis: hypertrophic cardiomyopathy, chronic heart failure, atrial fibrillation. After admission to be cardiac diuretic treatment, with digoxin 0.25mg once / day, the third day plus amiodarone 0.2g2 times / day, to August 14, the heart rate suddenly slowed down to 52 times / min, Is to be set after asthma emergency ECG: left atrial rhythm, then disable digoxin and amiodarone, until August 18 review is still left atrial rhythm. Because of non-cooperation, on August 24, discharged automatically, the day of discharge auscultation, heart rate rules, heart rate 64 times.