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患者女性,65岁。因心悸、气急3年,发作性抽搐、意识不清3小时于1990月12月6日诊为风湿性心脏病、阵发性心房颤动、心功能3级、阿-斯综合征入院。四肢抽搐伴意识不清发作5次,每次持续几秒钟。入院前3天因感胸闷、咯少量血丝痰而服地高辛0.25mg,1次/d,共服2天;乙胺碘呋酮0.2g,3次/d,共5次,总量1g。体检:意识清,唇微绀,二尖瓣面容,颈静脉怒张,血压14.67/8.67kPa,心率110次/分,律不齐,心尖区第一音响亮,可闻及
Patient female, 65 years old. Due to heart palpitations, impatience 3 years, episodes of convulsions, confusion 3 hours on December 6, 1990 diagnosed with rheumatic heart disease, paroxysmal atrial fibrillation, cardiac function 3, Adams syndrome admitted. Limbs and convulsions with unconscious attack 5 times, each time for a few seconds. 3 days before admission because of feeling chest tightness, slightly bloody sputum and taking digoxin 0.25mg, 1 / d, a total of 2 days; amiodarone 0.2g, 3 times / d, a total of 5g, the total 1g. Physical examination: conscious, lip cyanosis, mitral valve surface, jugular vein engorgement, blood pressure 14.67 / 8.67kPa, heart rate 110 beats / min, irregular arrhythmia, the first acoustically sound, can be heard