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我院抢救1例洋地黄中毒所致反复室速室颤先后50次成功,报告如下:患者,女,53岁,因劳力性心悸、气急8年,心慌、咳嗽、多痰、端坐呼吸5天于1988年10月3日入院。曾因风心病、难治心衰住我科,1985年患肺结核。1986年患左肾栓塞。查体:T37.8℃,P134~+次/分,R26次/分,Bp14.7/9.33kPa,急性重病容,呼吸急促,端坐呼吸,唇指紫绀,皮肤无黄染及淤斑。颈静脉怒张,胸廓无畸形,双肺闻湿性罗音。心界双侧扩大,心律绝对不齐,心音强弱不等,心尖部舒张期及收缩期杂音。肝肋下2.0cm、质韧,双下肢稍水肿。实验室检查:Hb90g/L。WBC10.4×10~9/L,
Our hospital to rescue 1 case of digitalis poisoning caused by repeated ventricular fibrillation has 50 times success, the report is as follows: The patient, female, 53 years old, due to fatigue heart palpitations, impatience for 8 years, palpitation, cough, phlegm, sitting breathing 5 The day was admitted to hospital on October 3, 1988. Once due to rheumatic heart disease, heart failure refractory to our department, suffering from tuberculosis in 1985. Left kidney embolism in 1986. Examination: T37.8 ℃, P134 ~ + times / min, R26 beats / min, Bp14.7 / 9.33kPa, acute serious illness, shortness of breath, sitting breathing, cyanotic lip, yellow skin and ecchymosis. Jugular vein engorgement, thoracic no deformity, lung smelling wet rales. Both sides of the heart to expand, the heart rhythm is absolutely missing, heart sound intensity range, apical diastolic and systolic murmur. Liver ribs 2.0cm, quality tough, slightly lower extremity edema. Laboratory examination: Hb90g / L. WBC10.4 × 10 ~ 9 / L,