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乙胺碘呋酮(简称胺碘酮)是目前应用广泛,高效长效、毒性较低的一种广谱抗心律失常药。但要警惕该药亦可严重致命性室性心律失常。我们最近遇到1例报告如下。患者女性,76岁。有慢性支气管炎,冠心病10年,慢性房颤8年,曾偶有室性早搏,无晕厥史,长期间断服用地高辛0.25mg/天。近一周来咳嗽、咳痰、气促、心悸、下肢浮肿,不能平卧于1985年2月18日入院。体检:BP130/80,半卧位。两肺底可闻及哮鸣音及湿罗音;心律绝对不齐,心音强弱
Amiodarone (amiodarone) is widely used now, high efficiency long-acting, low toxicity of a broad-spectrum anti-arrhythmic drug. But be wary of the drug can be serious and fatal ventricular arrhythmias. We have recently encountered a report as follows. Patient female, 76 years old. Chronic bronchitis, coronary heart disease 10 years, 8 years of chronic atrial fibrillation, had occasional ventricular premature beats, no history of syncope, long-term intermittent taking digoxin 0.25mg / day. Nearly a week to cough, sputum, shortness of breath, palpitations, lower extremity edema, can not lie on February 18, 1985 admission. Physical examination: BP130 / 80, semi-recumbent position. Two lungs can be heard and wheeze and wet rales; heart rhythm is absolutely missing, heart sound strength