论文部分内容阅读
潘生丁作为冠心病心绞痛的冠状动脉扩张剂已广泛使用.我们发现口服潘生丁致一过性心绞痛2例,特报告如下: 例1 男,53岁,因“反复心前区不适2年”就诊.临床诊断:冠心病、心绞痛.入院后给与潘生丁100mg口服,一日三次,首剂口服100mg.30分钟后,患者出现心悸、心前区疼痛.急查心电图示I、V_5、V_6导联S-T段下移1mV.立即舌下含服硝苯吡啶40mg,10分钟后,心绞痛缓解,复查心电图S-T、T恢复正常.出院后2月,门诊医师嘱口服潘生丁.首剂100mg20分钟左右,出现心绞痛,门诊心电图V_5、V_6、V_7S-T下移0.5～1mV,经舌下含服哨苯吡啶20mg缓解。
Dipyridamole coronary angioplasty has been widely used as coronary heart disease angina.We found 2 cases of oral dipyridamole induced transient angina, special report is as follows: A male, aged 53, due to “repeated precordial discomfort for 2 years.” Clinical Diagnosis: coronary heart disease, angina pectoris given after admission 100mg orally, three times a day, the first dose of oral 100mg.30 minutes, patients with heart palpitations, anterior precordial pain.Electrocardiogram ECG showed I, V_5, V_6 lead ST segment Down 1mV immediately sublingual nifedipine 40mg, 10 minutes later, angina ease, review ECG ST, T returned to normal after discharge from the hospital in February, the doctor prescribed oral dipyridamole first dose of 100mg20 minutes angina pectoris, out-patient Electrocardiogram V_5, V_6, V_7S-T down 0.5 ~ 1mV, sublingual methadopidine 20mg ease.