论文部分内容阅读
例1,女,21岁。1987年病毒性心肌炎频繁性室性早搏住院治疗。先后用慢心律、安搏律定等治疗无效,改用乙胺碘肤酮每日600mg,10天后自觉症状明显好转,早搏消失,减为每日200mg作维持量。一月后,患者口唇周围皮肤逐渐由微黄色变为界线清楚的棕黄色。查T_2、T_4、SGOT、SGPT均正常,考虑为乙胺碘肤酮副作用所致而停药。经半年门诊随访,患者口唇周围皮肤色素沉着逐渐消退。1989年6月患者因频繁室性早搏,部分呈二联律,再次给于乙胺碘肤酮每日600mg治疗;7天后早搏明显好转,减量日每200mg。3周后患者口唇周围皮肤又出现前述色素沉着,仍拟诊为乙胺碘肤
Example 1, female, 21 years old. In 1987, frequent viral myocarditis premature ventricular premature be hospitalized. Has a slow heart rhythm, Anbo law determined to invalid treatment, switch to ethylamine iodine daily 600mg, 10 days after the symptoms improved significantly, premature beats disappear, reduced to 200mg daily for maintenance. After January, the skin around the lips of the patient gradually changed from yellowish yellow to clear yellowish brown. Check T_2, T_4, SGOT, SGPT were normal, consider the side effects of ethylamine mellitus and withdrawal. After six months outpatient follow-up, the patient’s skin around the lips gradually subsided pigmentation. June 1989 patients with frequent ventricular premature beats, some were two laws, once again given ethylamine iodine daily dose of 600mg treatment; 7 days after the premature beats markedly improved, reducing the daily dose of 200mg. 3 weeks after the patient’s skin around the lips appear the aforementioned pigmentation, is still diagnosed as ethylamine iodine skin