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本文分析武汉市16所医院1977～1986年十年间住院心衰患者12495例次中,洋地黄中毒564例次心电图改变。其中466例次(82.6%)表现为各种心律失常,绝大部分为室性早搏(占62.4%)以及在房颤基础上出现的Ⅲ°房室传导阻滞或非阵发性房室交界性心动过速(分别占14.4%和13.1%),均为洋地黄中毒的特征性表现.死亡率最高的洋地黄中毒性心律失常仍为各种严重的室性异性节律以及非阵发性房室交界性心动过速.室内和右束支传导阻滞虽然极为少见,但一旦出现,预后欠佳。
This article analyzes the ECG changes of 564 cases of digitalis poisoning among 12495 cases of hospitalized heart failure in 16 hospitals in Wuhan from 1977 to 1986. Among them, 466 cases (82.6%) showed various kinds of arrhythmias, the vast majority were premature ventricular contractions (62.4%) and Ⅲ ° atrioventricular block or non-paroxysmal atrioventricular junction Tachycardia (14.4% and 13.1%, respectively) were all characteristic features of digitalis poisoning, and the highest mortality rate of digitalis toxicity arrhythmia was still a variety of severe ventricular heterotrophies and non-paroxysmal atrial Room junctional tachycardia. Although indwelling and right bundle branch block are extremely rare, they appear to have poor prognosis.