患者男,48岁。主因“HBsAg(+)30年,乏力、纳差10d”,于2006年3月25日来我院就诊。患者30年前发现HBsAg(+),肝功能正常,未进行过治疗。2年前因经常出现心慌,外院确诊“心律失常,心房纤颤”,未治疗。入院前1月患者自觉心慌加重,开始服用胺碘酮0.2g,3次/d。1周后因效果不佳,自行加 Male patient, 48 years old. Mainly because of “HBsAg (+) 30 years, fatigue, anorexia 10d”, March 25, 2006 to our hospital. Thirty years ago, HBsAg (+) was found in patients with normal liver function and was not treated. 2 years ago due to frequent palpitation, the hospital confirmed “arrhythmia, atrial fibrillation,” untreated. Patients in January before admission consciously aggravated, began to take amiodarone 0.2g, 3 times / d. 1 week due to poor results, add their own