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1、6—二磷酸果糖(FDP),常用于心肌梗死、脑缺血性病变、休克、局部器官缺血等,我们试用于房室传导阻滞,亦收到良好效果。例1,男,62a。因其反复胸闷不适数日入院检查,T36.5℃、P58次/min,BP180/112mmHg、EKS 示短阵房颤、频发房早、偶发室早、T 波改变,I 度房室传导阻滞。诊断为“高心”伴心律失常。用心痛定、消心痛、恬尔心、开搏通、心律平、复方丹参以及硝酸甘油5mg。静滴,2次/d,心率较缓时,使用阿托品、异丙肾上腺素0.5mg,静滴。半月后,房颤、室早均消失,P-R 间期仍为0.24s,此时加用 FDP5g,2次/d 静滴。4d后复查 EKS、P-R 间期为0.18s、停药观察1wk,仍为正常范围,好转出院。
Fructose 1,6 diphosphate (FDP), commonly used in myocardial infarction, ischemic lesions, shock, ischemia and other local organs, we try in atrioventricular block, also received good results. Example 1, male, 62a. T36.5 ℃, P58 times / min, BP180 / 112mmHg, EKS showed short atrial fibrillation, frequent room early, sporadic early, T wave changes, I degree atrioventricular conduction resistance Hysteresis Diagnosed as “high heart” with arrhythmia. Heartache pain, consumer heart pain, heart heart, Caixintong, heart rhythm, compound Salvia and nitroglycerin 5mg. Intravenous infusion, 2 times / d, heart rate more slowly, the use of atropine, isoproterenol 0.5mg, intravenous infusion. Half a month later, atrial fibrillation, early disappearance of room, P-R interval is still 0.24s, then add FDP5g, 2 times / d intravenous infusion. After 4d review EKS, P-R interval was 0.18s, withdrawal observed 1wk, is still normal range, improved discharge.