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尽管近年来广泛采用洋地黄维持量疗法治疗心力衰竭,但中毒的发生率仍可高达11.1％,且诊断有时颇难肯定。我院自1982年以来,应用放射免疫分析法测定51例(92人次)血清地戈辛浓度,证明对洋地黄中毒之诊断有很大帮助。分析如下。 材料与方法 本组男26例,女25例,年龄10～77岁。其中风湿性心脏病36例,冠状动脉硬化性心脏病5例,肺源性心脏病5例,高血压性心脏病2例,先天性心脏病、充血型心肌病及甲状腺机能亢进性心脏病各1例。心力衰竭,轻度者2例,中度18例,重度31例。26例伴有心房颤动。
Despite the widespread use of digitalis maintenance dose therapy in recent years, heart failure, but the incidence of poisoning can still be as high as 11.1%, and the diagnosis is sometimes difficult to be sure. Our hospital since 1982, the application of radioimmunoassay determination of 51 cases (92) of the serum geoxin concentration, to prove that the diagnosis of digitalis poisoning is of great help. analyse as below. Materials and Methods The group of 26 males and 25 females, aged 10 to 77 years. 36 cases of rheumatic heart disease, 5 cases of coronary heart disease, 5 cases of pulmonary heart disease, 2 cases of hypertensive heart disease, congenital heart disease, congestive cardiomyopathy and hyperthyroidism heart disease 1 case. Heart failure, mild in 2 cases, 18 cases of moderate, severe in 31 cases. 26 cases with atrial fibrillation.