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1例22岁女性患者因牙龈肿痛自行服用那如三味丸5粒。30min后出现胸痛、头晕、恶心。6h后症状加重伴呕吐、面色苍白、四肢末梢紫绀入院。立即给予吸氧及心电监护。查体:BP80/50mmHg,神志淡漠、意识模糊。心电图:频发室性早搏二联律,室性颤动。急查心肌酶谱:AST151.1U/L,LDH532U/L,CK1113U/L,CK-MB135.5U/L,α-HBDH427U/L,肌钙蛋白T1.60μg/L。诊断为频发室性早搏,室性颤动,药物性心肌损害,心源性休克。给予补钾、静脉滴注多巴胺及对症治疗,病情改善。继续治疗15d痊愈出院。随访2个月无复发。
A 22-year-old female patient took 5 capsules of Sanwei Pills because of gingival swelling and pain. After 30min chest pain, dizziness, nausea. 6h after the symptoms aggravated with vomiting, pale, limbs cyanotic admission. Give oxygen and ECG immediately. Examination: BP80 / 50mmHg, indifferent consciousness, confusion. ECG: frequent premature ventricular contractions dual law, ventricular fibrillation. EMG: AST151.1U / L, LDH532U / L, CK1113U / L, CK-MB135.5U / L, α-HBDH427U / L, and troponin T1.60μg / L. Diagnosis of frequent premature ventricular contractions, ventricular fibrillation, drug-induced myocardial damage, cardiogenic shock. Given potassium, intravenous dopamine and symptomatic treatment, the condition improved. Continue treatment 15d discharged. Follow-up 2 months without recurrence.