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狄戈辛与乙胺碘呋酮目前为临床较常用的药物,但对二者间的相互作用未引起足够重视,现就我科在二药并用中出现1例心律失常报告如下。病者,女,47岁,住院号84~1141,因心跳气促25天,双下肢浮肿5天,于1984年2月25日入院。患者于25天前突感心悸、气促,少许咳嗽,活动时加剧。入院前5天双下肢浮肿,夜间阵发性呼吸困难,不能平卧,发热,于当地医治无效转送来院。有慢性游走关节疼痛史20年。体查:T38.4℃,R30次,P84次,BP120/80,神清,半坐卧位,口唇及指(趾)端发绀,鼻扇。颈软,颈静脉怒张,胸廓对称,双肺布满哮鸣音及湿啰
Dioxin and amiodarone are currently more commonly used drugs in clinical practice, but the interaction between the two did not pay enough attention, and now our department in the two drugs and the use of a case of arrhythmia reported below. The patient, female, 47 years old, hospital number 84 ~ 1141, due to heart shortness of breath for 25 days, two lower extremities edema for 5 days, on February 25, 1984 admission. Patients had sudden heart palpitations, shortness of breath, a little cough 25 days ago and increased activity. 5 days before admission, lower extremity edema, paroxysmal nocturnal dyspnea, can not supine, fever, invalid transfer to the local hospital treatment. A history of chronic wandering joint pain for 20 years. Physical examination: T38.4 ℃, R30 times, P84 times, BP120 / 80, Shen Qing, sedentary position, lip and finger (toe) end cyanosis, nasal fan. Neck soft, jugular vein engorgement, chest symmetry, lungs covered with wheeze and wet Hello