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患者,男,66岁,因风湿性心脏病史26年,气促、少尿4个月,黑朦、心悸1 d就诊。院外长期口服地高辛(0.125 mg/d),洛汀新(5 mg/d)。入院前6 d服安体舒通(20 mg/d,×6 d),补达秀(2 g/d,×6 d),倍他乐克(25 mg/d,×2 d)。入院心电图示:P波消失,QRS宽大,时限=0.20 s,呈RBBB型,节律整齐,频率27次/min,心电图诊断:窦性静止,室性逸搏心律(HR27次/min)。以风湿性心脏
Patients, male, 66 years old, 26 years history of rheumatic heart disease, shortness of breath, oliguria for 4 months, darkness, heart palpitations 1 d treatment. Out-of-hospital long-term oral digoxin (0.125 mg / d), Lotensin (5 mg / d). Spironolactone (20 mg / d, × 6 d), Bundau (2 g / d, × 6 d) and metoprolol (25 mg / d, × 2 d) were administered 6 d before admission. Admission ECG: P wave disappeared, QRS generous, time limit = 0.20 s, was RBBB type, rhythm and neat, the frequency of 27 beats / min, ECG diagnosis: sinus rest, ventricular escape rhythm (HR27 times / min). With rheumatic heart