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山莨菪碱治疗室性心律失常迄今国内很少见报道.笔者治疗3例均有效,现报告如下. 例1 男患,72岁(住院号145080),因心慌、胸闷12小时于1988年7月11日入院。查体:T36.7℃,P180次/分,R22次/分,Bp 12/9.3k Pa,HR180次/分,律齐,心尖区SMⅡ。EKG示室速、陈旧性广泛前壁心梗.入院后即静注利多卡因50mg,5分钟后又静注100mg,并用400mg静滴。2小时后仍未转复窦律.中午12时发生肺水肿病情渐重呈挣扎样呼吸,神志恍惚。即静注西地兰0.4mg、氨茶碱250mg、速尿、氟美松、可拉明等,症状渐缓解,下午1时恢复窦律。三小时后室速再发,上述症状又复出现,先后两次静注西地兰0.2mg、氨茶碱250mg及利多卡因200mg无效。因
Anisodamine treatment of ventricular arrhythmias has so far been rarely reported in the author treatment of 3 cases are valid, are as follows.Example 1 Male patients, 72 years old (hospital number 145080), due to palpitation, chest tightness 12 hours in July 1988 Admission on the 11th. Examination: T36.7 ℃, P180 beats / min, R22 beats / min, Bp 12 / 9.3k Pa, HR180 beats / min, law Qi, apical SMII. EKG showed ventricular tachycardia, a long history of anterior wall myocardial infarction.After admission intravenous lidocaine 50mg, 5 minutes after intravenous injection of 100mg, and intravenous infusion of 400mg. 2 hours after the sinus rhythm has not yet reversed.At 12 noon, pulmonary edema, progressive disease was struggling to breathe, trance. That is, intravenous cedilanfil 0.4mg, aminophylline 250mg, furosemide, dexamethasone, cocaine and other symptoms gradually ease the solution, 1:00 to restore sinus rhythm. Three hours after the recurrence of VT, the above symptoms reappear, has twice intravenous cedilanid 0.2mg, aminophylline 250mg and lidocaine 200mg invalid. because