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洋地黄等强心甙是治疗心力衰竭的重要药物,但是在重度心力衰竭、心肌严重损害(如急性心肌梗塞、心肌炎)心脏明显扩大、电解质紊乱等情况下,洋地黄的用量不易掌握;而用洋地黄治疗过程中所出现的心律失常并非都是洋地黄中毒。因此掌握一些洋地黄耐量试验方法对临床医师来说很有必要。下面介绍几种切实可行并经临床实践证实有效的一些洋地黄耐量试验方法,供参考。 (一)乙酰毒毛旋花子素配基(Acetyl-stro-phanthidin)试验:用乙酰毒毛旋花子素配基0.05毫克溶于5～10％葡萄糖20毫升静脉注射,在注射过程中及注射后用心电示
Digitalis and other cardiac glycosides are important drugs for the treatment of heart failure, but in severe heart failure, severe myocardial damage (such as acute myocardial infarction, myocarditis) significantly enlarged heart, electrolyte imbalance and other circumstances, the amount of digitalis not easy to grasp; Not all of the arrhythmias that occur during digitalis treatment are digitalis poisoning. Therefore, to master some digitalis tolerance test method for clinicians is necessary. Here are some practical and proven by clinical practice some digitalis tolerance test methods for reference. Acetyl-stro-phanthidin (Acetyl-stro-phanthidin) test: Acetotoxic hair swinitin 0.05 mg dissolved in 5 to 10% glucose 20 ml intravenous injection during and after injection ECG show