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病例摘要患者男,43岁,风心病。因充血性心力衰竭,于1984年9月4日入院,经地高辛0.25mg/d等治疗46天后,心衰基本控制。11月20日心电图报告为窦性心律(窦律),左前分支阻滞,Ⅰ度房室传导阻滞(AVB),房性早搏(房早)二联律(附图上行),洋地黄中毒。21日查房前仍服地高辛0.25mg,当日心电图报告房早伴短阵房性阵发性心动过速(房速)及文氏型AVB(附图中、下行)提示洋地黄中毒。即停地高辛,口服氯化钾及苯妥因钠。22日心电图示房早二联律,23日房早消失,继抗心衰治疗。心电图分析上行(11月20日)导联Ⅲ,窦律95次/分,
Case Summary Male patient, 43 years old, rheumatic heart disease. Due to congestive heart failure, admitted on September 4, 1984, after digoxin 0.25mg / d and other treatment for 46 days, the basic control of heart failure. November 20 electrocardiogram report of sinus rhythm (sinus rhythm), left anterior branch block, Ⅰ degree atrioventricular block (AVB), atrial premature beats (atrial septal) bigeminy (top of the figure), digitalis poisoning . 21 days before taking the test is still digoxin 0.25mg, ECG report room early with short atrial tachycardia (atrial tachycardia) and AVN (Figure, down) prompted digitalis poisoning. That stop digoxin, oral potassium chloride and phenytoin sodium. On the 22nd ECG show room early couplet law, room disappear early on the 23rd, following the treatment of anti-heart failure. ECG analysis uplink (November 20) Lead III, sinus law 95 beats / min,