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患者女,62岁,因心悸,胸闷反复发作7年,加重10天伴昏厥抽搐2次,于1986年6月11日晚入院。患者有心肌病史7年,10天前患急性胃肠炎。体检:T36.5℃,P66次,R26次,Bp140/90,神志模糊,唇紫,两肺底部可闻细湿罗音,心界向左扩大,心尖部闻及Ⅱ级收缩期杂音,心率66次,律齐。血K~+2.8mEg/l,Na~+136mEq/L,Cl~-109mEg/l。心电图示非阵发性交界性心动过速,间歇性房颤,完全性右束支传导阻滞,洋地黄中毒,低血钾。胸片示心脏普大型。给予补钾、
Female, 62 years old, because of heart palpitations, chest tightness, recurrent episodes of seven years, aggravating 10 days with convulsions and convulsions 2 times, on June 11, 1986 night admission. Patients have a history of myocardial disease 7 years, 10 days ago suffering from acute gastroenteritis. Physical examination: T36.5 ℃, P66 times, R26 times, Bp140 / 90, ambiguity, lips purple, two lungs can smell fine wet rales at the bottom of the heart to expand to the left, apex symphysis and Ⅱ systolic murmur, heart rate 66 times, Law Qi. Blood K ~ + 2.8mEg / l, Na ~ + 136mEq / L, Cl ~ -109mEg / l. ECG non-paroxysmal borderline tachycardia, intermittent atrial fibrillation, complete right bundle branch block, digitalis poisoning, hypokalemia. Chest X-ray shows large heart. Give potassium,