论文部分内容阅读
病例:男,40岁。因腹胀,食欲不佳,乏力半年;心悸、气短半个月而入院。入院时查体:一般状况尚可,心界不大,心率80次/min,节律不整,可闻及频发室性早搏,心音不弱,肝脾未触及。 24h动态心电观察结果 室性早博:2 739个;成对室性早搏217个;短阵室速1个。给予利多卡因200～300mg,静点1周无效后改用口服乙胺碘呋酮、心律平均无效。化验结果:HBsAg+,抗HBs(一),抗HBc~-,HBeAg(一),抗HBe+,HBcAg+,给予干扰素α-2a 300万单位,隔日1次肌注,治疗1个月后复查24h
Case: Male, 40 years old. Due to bloating, poor appetite, fatigue half a year; palpitations, shortness of breath and admitted to hospital for two weeks. Admission examination: the general situation is acceptable, the heart is not big, heart rate 80 beats / min, irregular rhythm, can be heard and frequent ventricular premature beats, heart sound is not weak, liver and spleen not touched. 24 h Holter observation results of ventricular premature beats: 2 739; pair of premature ventricular contractions 217; Give lidocaine 200 ~ 300mg, intravenous amiodarone after switching to static point 1 week, the average heart rate is invalid. HBsAg +, anti-HBc-, HBeAg (a), anti-HBe +, HBcAg +, given interferon α-2a 300 million units, intramuscular injection every other day, 1 month after treatment for 24h