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本文为了探讨老年人心力衰竭洋地黄中毒的临床特点及治疗对策。对我院近年来收治的在治疗心力衰竭过程中发生洋地黄中毒的20例患者进行分析。其中男9例,女11例,年龄为55～78岁。均以地高辛0.125mg～0.25mg/天维持量给药,必要时临时加用西地兰0.2～0.4mg静注。在用药过程中根据临床症状的变化,如新出现的心律失常、不能用其他原因解释的消化道或神经系症状,结合心电图变化及血清地高辛浓度>2ng/ml综合判断洋地黄中毒。
This article is to investigate the clinical features and treatment of digitalis in elderly patients with heart failure. In our hospital admitted in recent years in the treatment of digitalis occurred in the process of 20 cases of digitalis poisoning were analyzed. Including 9 males and 11 females, aged 55 to 78 years. Both digoxin 0.125mg ~ 0.25mg / day maintenance dose, if necessary, add cedilanid 0.2 ~ 0.4mg intravenously. In the course of medication based on changes in clinical symptoms, such as new arrhythmia, can not be explained by other causes of the digestive tract or neurological symptoms, combined with electrocardiographic changes and serum digoxin concentration> 2ng / ml comprehensive judgment of digitalis poisoning.