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患者67岁,女,退休职工,住院号13068。入院前有“冠心病、心绞痛”病史9年余,长期服用扩张冠状动脉(扩寇)及镇静药物。1986年开始出现室性及房性期前收缩,曾先后应用氯酰心安、心律平、异搏定及乙胺碘呋酮等药,以心得安口服效果较好,无任何副作用。此次入院前1个月内口服心得安10mg,每日3次。因心绞痛加重,来我院就诊入院。住院当日饮食正常,早餐饼干100g,午餐主食约75g(平素每日主食150g 左右)。既往无糖尿病、甲亢、肝病史。入院时查体:除可闻及期前收缩外,余无异常。EKG:窦性心律,房性早搏,冠状动脉供血不足。入院诊断:冠心病、心绞痛(稳定型)、心律失常。治疗经过:24小时心电监护:扩冠;心得安10mg,每日3次口服;极化液500ml(10%葡萄糖500ml+普通胰
Patient 67 years old, female, retired employee, hospital number 13068. Pre-admission “coronary heart disease, angina” history of more than 9 years, long-term use of dilated coronary artery (Kuikou) and sedative drugs. 1986 began to appear ventricular and atrial contraction, has successively applied chloramphenicol, heart rate Ping, verapamil and amiodarone and other drugs, the peace of oral good effect, without any side effects. One month prior to admission, an oral experience of 10mg, 3 times a day. Due to aggravating angina, to our hospital for admission. The same day the hospital diet, breakfast biscuits 100g, lunch staple about 75g (usually daily staple 150g or so). Past no diabetes, hyperthyroidism, history of liver disease. Physical examination on admission: In addition to hearing and before the contraction, I no exception. EKG: sinus rhythm, atrial premature beats, coronary insufficiency. Admission diagnosis: coronary heart disease, angina (stable type), arrhythmia. Treatment after: 24-hour ECG: expansion crown; propranolol 10mg, 3 times a day orally; Polaroid 500ml (10% glucose 500ml + ordinary pancreas