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心律平(Propafenone)即丙胺苯丙酮、普罗帕酮,是一种新型的抗心律失常药。适用于预防和治疗室性或室上性异位搏动、室性或室上性心动过速、预激综合征。对冠心病、高血压所引起的心律失常有较好的疗效。但近年有关其副作用的报道不少,应引起重视。 引起房室传导阻滞 患者女,62岁,以冠心病劳累型心绞痛诊断入院。以往无黑朦或晕厥史。心电图示窦性心律,陈旧性前间壁心肌梗塞表现。于常规治疗同时预防性应用心律平。患者首次服150毫克4小时后,感头昏、眩晕、恶心、呕吐、胸闷、心悸、面色苍白,测血压16/11千帕,心室率41次/分,心电图示3度房室传导阻滞。立即肌注阿托品和地塞米松,心率未提高。给予吸
Propafenone is propranone, propafenone, a new antiarrhythmic drug. For the prevention and treatment of ventricular or ventricular ectopic beats, ventricular or supraventricular tachycardia, WPW syndrome. Coronary heart disease, hypertension caused by arrhythmia have a good effect. However, there have been many reports on its side effects in recent years, which deserves our attention. A female patient with atrioventricular block, aged 62, was diagnosed with angina attributed to coronary heart disease. In the past no dark or fainting history. ECG shows sinus rhythm, the performance of the old anterior wall myocardial infarction. In the routine treatment of prophylactic application of heart rate. Patients first drank 150 mg for 4 hours, feeling dizzy, dizziness, nausea, vomiting, chest tightness, palpitations, pale, measuring blood pressure 16/11 kPa, ventricular rate 41 beats / min, ECG 3 degrees atrioventricular block . Immediate intramuscular injection of atropine and dexamethasone, heart rate did not increase. Give suction