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本文报告3例氨茶碱引起的心律失常,结合文献讨论其发生机理。认为安定及心得宁治疗有效。例1杨×,男,13岁,1979年8月23日入院。患者因咳嗽气喘于入院前10小时静注氨茶碱1克,当即感心慌、头昏、出汗,恶心呕吐。心电图示室上性心动过速,心率150次/分。急予吸氧,氢化考地松、多巴胺后转来。体检:体温37℃,脉搏130/次分,血压120/80mmHg,神清,气促,口唇轻度紫绀,两啼满布哮鸣音与干湿罗音。心电图示:房性心律,心率143次/分,Sv_1+Rvs=4.15mmv,Q-T 间期延长T 波高耸。血清钾
This article reports three cases of arrhythmia caused by aminophylline, combined with the literature to discuss the mechanism of its occurrence. Think calm and experience rather effective treatment. Example 1 Yang ×, male, 13 years old, admitted to hospital on August 23, 1979. Patients with cough and panting intravenous injection of aminophylline 1 g 10 hours before admission, immediately feel panicked, dizziness, sweating, nausea and vomiting. ECG supraventricular tachycardia, heart rate 150 beats / min. Emergency oxygen, cortisol, dopamine after the transfer. Physical examination: body temperature 37 ℃, pulse 130 / sub-points, blood pressure 120 / 80mmHg, Shen Qing, shortness of breath, lips mild cyanosis, two crows covered with wheeze and dry rales. ECG shows: atrial rhythm, heart rate 143 beats / min, Sv_1 + Rvs = 4.15mmv, Q-T interval to extend the T wave towering. Serum potassium