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异搏定是治疗室上性心动过速的首选药物,对减慢房颤和房扑的心室率亦有较好的疗效,但对室性心律失常的作用尚缺乏观察。我们遇3例频发室性早搏患者用异搏定治疗取得显著疗效,现报告于下:例1 男,55岁。因“冠心病、心律失常”收治,心电图提示“慢性冠状动脉供血不足,室性早搏呈二联律”。用苯妥因钠、心律平、普鲁卡因酰胺常用量治疗无效,用利多卡因有效,但停用则再现,改用异搏定口服,40mg 一日三次,早搏减少,两天后消失,停用后又复出现,再用再次消失,遂继用两周而停用,继续观察两周未再出现。
Verapamil is the preferred drug for the treatment of supraventricular tachycardia, atrial fibrillation and atrial fibrillation to slow down the ventricular rate also has a good effect, but the role of ventricular arrhythmias is still lack of observation. We encountered three cases of frequent premature ventricular contractions in patients with verapamil achieved significant results, are reported below: Example 1 male, 55 years old. Because of “coronary heart disease, arrhythmia” admitted, ECG prompts “chronic coronary insufficiency, ventricular premature beriberi law.” With phenytoin sodium, cardiac rhythm, procaine amide commonly used in the treatment of ineffective, with lidocaine effective, but disabled to reproduce, switch to verapamil oral, 40mg three times a day, reduced premature ejaculation disappeared after two days, Stopped and then appear again, and then disappear again, then use two weeks and disabled, continue to observe the two weeks no longer appear.