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患男,22岁.一年来因上腹饱胀不适,伴规律性疼痛经胃镜检查诊断为幽门部溃疡.查体:T.36.5℃,P88次/min,P22次/min,BP16/10kPa.头颅、心、肺及腹部均正常.上腹部压痛(+).血、尿、粪常规未见异常。心电图、X 线胸透、肝功均无异常.入院后予甲氰咪呱200mg3次/d,饭后服.400mg睡前服.8周后原有症状消失.自觉心慌、心前区不适.查体:心律56次/min,心率不规则。心电图示Ⅱ度Ⅰ型房室传导阻滞,呈5∶4传导.考虑为甲氰咪呱毒副作
Suffering from men, aged 22. One year due to abdominal fullness discomfort, with regular pain by gastroscopy diagnosis of pyloric ulcer.Check the body: T.36.5 ℃, P88 times / min, P22 times / min, BP16 / 10kPa. Head, heart, lungs and abdomen were normal. Upper abdominal tenderness (+). Blood, urine, excrement routine no abnormalities. Electrocardiogram, chest X-ray, no abnormal liver function.After admission to cimetidine 200mg3 times / d, after meals.400mg bedtime clothing .8 weeks after the original symptoms disappear .A consciously flustered, precordial discomfort. : 56 heart rate / min, irregular heart rate. ECG Ⅱ degree Ⅰ type atrioventricular block, was 5: 4 conduction. Considering the cimetidine poison side by side