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应用红霉素治疗时出现室性心动过速者罕见,但很重要。本文报道1例红霉素诱发的伴Q-T间期延长的可致命性室速。患者女性,61岁,因发热、肺炎及严重呼吸道感染入院。心电图示窦性心动过速,右房肥大,Q-T_C正常(410ms)。每日给予头孢三嗪2g,乳糖酸红霉素1克/次,每日3次,于90分钟内滴完。第4次滴注红霉素时,Q-T_C明显延长达550ms,出现多形性室性期前收缩及非持续性扭转型室速。当第8次及
The application of erythromycin treatment of ventricular tachycardia rare, but very important. This paper reports a case of erythromycin-induced Q-T prolongation of lethal ventricular tachycardia. Female, 61 years old, admitted to hospital for fever, pneumonia and severe respiratory tract infection. ECG showed sinus tachycardia, right atrial hypertrophy, Q-T_C normal (410ms). Give ceftriaxone 2g daily, erythromycin lactobionate 1g / time, 3 times a day, dropping over 90 minutes. The fourth infusion of erythromycin, Q-T_C significantly prolonged up to 550ms, there was pleomorphic ventricular contraction and non-sustained torsion VT. When the 8th and