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患者,男,73岁。因“冠心病,陈旧性心肌梗塞,心衰Ⅲ度”入院,用常规量洋地黄等治疗不足以纠正心衰,且血压偏低(11/7kPa),用药前心电图示窦性心律,心率86次/分。即予多巴酚丁胺80mg加入5％糖水500ml中静滴(10d/M),约一刻钟后突然出现房颤伴快速心室反应,静注西地兰0.4mg无效,两小时后口服心得安10mg, 观察两小时仍无效,即停用多巴酚丁胺,10分钟后房颤消失转为窦律。5天后病情不稳定再次在心电监护下用多巴酚丁胺40
Patient, male, 73 years old. Due to “coronary heart disease, old myocardial infarction, heart failure Ⅲ degree” admission, with conventional digitalis treatment is not enough to correct heart failure, and low blood pressure (11 / 7kPa), sinus rhythm ECG before treatment, heart rate 86 Times / minute. That is to dobutamine 80mg added 5% syrup 500ml intravenous infusion (10d / M), about a quarter of an hour after the sudden onset of atrial fibrillation and rapid ventricular response, intravenous cydia 0.4mg invalid, two hours after oral propranolol 10mg, observed two hours is still invalid, that is, dobutamine deactivation, 10 minutes after the disappearance of atrial fibrillation turned sinus rhythm. 5 days after the unstable condition again in the ECG with dobutamine 40