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目的观察静脉注射可达龙治疗对毛花甙C控制不佳的急性心肌梗死伴快速心房颤动的临床疗效。方法对16例应用毛花甙C控制不佳的急性心肌梗死伴快速心房颤动的患者给予可达龙3～5mg/kg稀释后10min内注入,随后以滴速0.5～1.5mg/min静脉泵入维持,并根据房颤心室率控制情况,调整可达龙用量,必要时可再静脉注射75～150mg,病情稳定后维持并改口服可达龙,每日用量900～1200mg。结果快速房颤转为窦性心律者12例,心室率降至100次/min以下者3例,1例死亡。结论静脉注射可达龙对毛花甙C控制不佳的急性心肌梗死伴快速心房颤动的患者有明显疗效,且副作用少,值得临床推广,用药宜个体化。
Objective To observe the curative effect of intravenous galactone on acute myocardial infarction with rapid atrial fibrillation (NAFLD) of poorly controlled lanugin C. Methods 16 cases of patients with acute myocardial infarction with rapid atrial fibrillation who were not controlled by curcumin C were given 10-5 mg / kg diltiazem intramuscular injection within 10 minutes, and then intravenously dripped at a drip rate of 0.5-1.5 mg / min Maintain and, according to atrial fibrillation ventricular rate control situation, adjust the dosage of up to reach the dragon, if necessary, intravenous injection of 75 ~ 150mg, stable and maintain oral rectal up to the dragon, the daily dosage of 900 ~ 1200mg. Results In 12 patients with rapid atrial fibrillation converted to sinus rhythm, ventricular rate decreased to 100 beats / min in 3 patients and 1 patient died. Conclusion Intravenous quetiapine has obvious curative effect on patients with acute myocardial infarction with poor control of lanatoside C with rapid atrial fibrillation, and has few side effects and deserves clinical promotion.