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对象为平均67(40～90)岁的21例房颤或房扑患者,伴快速心率(143±4bpm)。其中7例充血性心衰Ⅲ级,左室射血分数18％～61％。首先在2分钟内静脉注射地高辛0.25或0.5mg,2小时后再予0.125、0.25或0.5mg。首次给予地高辛后,立即给予Esmolol,每隔5min依次静脉注射10、10、20、20和20mg,每隔5分钟递增静脉滴注剂量,依次为2、4、8、12、16ug/min。如果收缩
Subjects were 21 patients with atrial fibrillation or atrial flutter, mean fast heart rate (143 ± 4bpm), 67 (40-90) years old. 7 cases of congestive heart failure grade Ⅲ, left ventricular ejection fraction 18% to 61%. First intravenous injection of digoxin 0.25 or 0.5 mg within 2 minutes and then 0.125, 0.25, or 0.5 mg after 2 hours. After the first administration of digoxin, Esmolol was given intravenously at intervals of 10, 10, 20, 20 and 20 mg every 5 minutes, and the dosage of intravenous infusion was increased every 5 minutes, followed by 2,4,8,12,16 ug / min . If contracted