抢救奎尼丁晕厥的体会

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奎尼丁在治疗快速心律失常中发生晕厥,往往因抢救不及时而导致病人死亡,从而限制了该药的使用。笔者曾为一位病人在电复术前用奎尼丁1.3克,12小时内连续发生3次晕厥抢救成功. 患者,女,36岁。风心二尖瓣狭窄伴房颤,作选择性电转率。血、尿常规正常,血沉8mm/2h,抗链“O”1:500,血清钾5.6mEq/L,肝功能正常。入院后首次服奎尼丁0.1克试睑,次日给0.2克,一日三次内服,总数达1.3克时,病人自觉心悸消失,心律规则。心率84次/分,心尖区第一心 Quinidine in the treatment of tachyarrhythmia syncope, often because of the rescue is not timely and cause the patient to die, thus limiting the use of the drug. I used to be a patient with electro-cardioversion before the use of quinidine 1.3 grams, 12 consecutive three consecutive syncope rescue. Patients, female, 36 years old. Ventricular mitral stenosis with atrial fibrillation, for selective electroportion. Normal blood, urine, ESR 8mm / 2h, anti-chain “O” 1: 500, serum potassium 5.6mEq / L, normal liver function. For the first time after admission quinidine 0.1 g test eyelid, 0.2 grams the next day, three times a day orally, a total of 1.3 grams, the patient disappeared heart palpitations, heart rhythm rules. Heart rate 84 beats / min, the first heart of the apical area
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