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男患,22岁,因胃镜检查示“十二指肠球部溃疡、糜烂性胃炎”收住我院消化科。既往体健,无心脏病史。体检:一般可,肺部正常,心率80次/分,律齐,未及杂音。腹软,肝脾肋下未及,腹部无压痛。血常规、肝肾功能均正常。胸片未见异常。入院后给甲氰咪胍200mg,每日3次,晚再加服400mg。服药后第17天偶作心电图检查发现“短阵交界性逸搏心律”。遂停服甲氰咪胍。3天后复查,心电图示“窦性心律不齐”。于是又给甲氰咪胍如前服法,服药3天后复查心电图,又示“偶见交界性逸搏心律”。
Male suffering, 22 years old, due to gastroscopy showed “duodenal ulcer, erosive gastritis,” admitted to our hospital Gastroenterology. Past physical health, no history of heart disease. Physical examination: General, normal lungs, heart rate 80 beats / min, law Qi, not as murmurs. Abdomen soft, liver and spleen ribs, and no tenderness in the abdomen. Blood, liver and kidney function are normal. No abnormal chest X-ray. After admission to cimetidine 200mg, 3 times a day, plus 400mg later. On the 17th day after taking the medication, he even made an electrocardiogram examination and found that “a burst of borderline escape rhythm”. Then stop taking cimetidine. 3 days after the review, ECG shows “sinus arrhythmia.” So give Cimetidine as the former service law, review the ECG after 3 days, also showed “occasional borderline escape rhythm.”