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患者女,52岁。9小时前为治关节痛自服博落回鲜根煎剂250ml(约250g煎成500ml汤剂),数分钟后突起阵发性心悸,两次有“濒死感”,伴眩晕、耳鸣、出冷汗、四肢麻木及恶心,上腹灼热,无晕厥与抽搐。既往无心脏病史。其婆母也服相同剂量于20小时后死亡(未经治疗)。体查:体温36℃,脉搏90次,呼吸20次,血压21.0/11.9kPa。神志清楚,精神差。皮肤无黄染及出血点。瞳孔正常,唇无紫绀。颈静脉不充盈,右下肺少许湿罗音。心界不大,心率96次,可闻早搏,短促必动过速,无杂音。肝脾未触及。腱反射正常,克、布、巴氏征阴性。血钾3.4mmol/L。心电图:频发、多源室性早
Female patient, 52 years old. 9 hours ago for the treatment of arthralgia bogey fall and return to the root decoction 250ml (about 250g decoction 500ml decoction), a few minutes after the sudden onset of paroxysmal palpitations, twice a “sense of nearness,” with dizziness, tinnitus, A cold sweat, limb numbness and nausea, abdominal hot, no syncope and convulsions. No previous history of heart disease. His mother also took the same dose of death after 20 hours (untreated). Physical examination: body temperature 36 ℃, pulse 90 times, breathing 20 times, blood pressure 21.0 / 11.9kPa. Conscious, poor spirit. No skin yellowing and bleeding points. Normal pupil, lips without cyanosis. Jugular vein is not full, the right lower lung a little wet rales. Small heart, heart rate 96 times, can be heard premature beats, short must move too fast, no noise. Liver and spleen not touched. Tendon reflex normal, grams, cloth, Pakistan’s negative sign. Potassium potassium 3.4mmol / L. ECG: frequent, multi-source ventricular early