普奈洛尔常规剂量长期口服偶可出现窦性心动过缓 ,口服4次共 80 mg即出现严重心律失常却罕见报道 ,笔者现报告 1例如下 :1　病历摘要　　患者男 ,5 7岁 ,病历号 113719,1999年 11月因咳嗽、咯痰、气短 30 a,下肢浮肿 10余日在我院诊断为 :慢性支气管炎、肺气肿、肺心病。于 2 0 Prophylaxis of propranolol routine oral long-term may even occur sinus bradycardia, oral 4 times a total of 80 mg that serious arrhythmia is rarely reported, the author is now reported in 1 cases as follows: 1 patient summary of male patients, 57 years old, medical records No. 113719, November 1999 due to cough, expectoration, shortness of breath 30 a, lower extremity edema more than 10 days in our hospital diagnosed as: chronic bronchitis, emphysema, pulmonary heart disease. At 20