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病历摘要: 患者女性,59岁,因心肌病、心律失常于1985年1月10日入院。血压120/80mmHg。两肺可闻及干湿罗音。心界向两侧扩大,心率80次/分,律不齐,心尖区有Ⅱ级收缩期杂音。肝脾未扪及。下肢不浮肿。化验:血钾4.0mEq/L。心电图示:窦性心律,多源性早搏,完全性右束支合并左前分支阻滞。入院后给予抗感染、扩血管及利多卡因、异搏停等治疗。肺部罗音消失。心电图多次检查同前。1月21日起用胺碘酮200mg日三次,至24日出现心率缓慢,心电图示Ⅲ度房室传导阻滞,室性早搏,即停胺碘酮,并给阿托品0.5
Medical record Abstract: The female patient, aged 59, was admitted to hospital on January 10, 1985 due to cardiomyopathy and arrhythmia. Blood pressure 120 / 80mmHg. Two lungs can be heard and wet and dry rales. Heart to expand on both sides, heart rate 80 beats / min, irregular arrhythmias, apical systolic murmur. Liver and spleen not palpable. Lower extremity is not edema. Assay: Potassium 4.0mEq / L. ECG shows: sinus rhythm, multi-source premature beats, complete right bundle branch and left anterior branch block. Admission to give anti-infection, vasodilators and lidocaine, verapamil and other treatment. Lung rales disappear. ECG check multiple times with the previous. January 21 with amiodarone 200mg three times a day, to the 24th appeared slow heart rate, ECG showed a third degree atrioventricular block, premature ventricular contractions that stopped amiodarone, and to atropine 0.5