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地高辛是洽疗心力衰竭的常用药物之一,使用不当易发生中毒,致命的毒性反应为心律失常。本文对地高辛治疗过程中发生的52例心律失常进行分析和讨论。 1980年6月～1983年6月,我院住院的360例心衰患者应用地高辛维持疗法(0.25mg/日),其中出现心律失常者52例。男28例,女24例;年龄18岁～76岁(60岁以上者9例);风心病30例,高血压及冠心病11例,心肌炎及心肌病6例,肺心病3例,其它心脏病2例。临床分析 (一)心律失常类型:室性早搏20例次(38.5％)Ⅱ°房室传导阻滞18例次(34.6％),
Digoxin is one of the commonly used medicines for treating heart failure, which is apt to occur when used improperly. The deadly toxic reaction is arrhythmia. In this paper, 52 cases of arrhythmia occurred during digoxin treatment were analyzed and discussed. From June 1980 to June 1983, 360 patients with heart failure admitted to our hospital were treated with digoxin maintenance therapy (0.25mg / day), including 52 cases of arrhythmia. 28 males and 24 females; aged 18 years to 76 years (9 cases over the age of 60); 30 cases of rheumatic heart disease, hypertension and coronary heart disease in 11 cases, myocarditis and cardiomyopathy in 6 cases, 3 cases of cor pulmonale, the other heart 2 cases of disease. Clinical analysis (a) type of arrhythmia: ventricular premature beats 20 cases (38.5%) Ⅱ ° atrioventricular block 18 cases (34.6%),