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本文报导64例老年人心脏病心衰,用洋地黄维持量引起的洋地黄中毒。文中分析肾功能减退,心肌损害,细胞内低钾,低血镁及不典型风湿活动为老年洋地黄中毒主要诱因。洋地黄中毒的 EKG 改变仍以室性异位节律为主,当出现过缓心律时注意病窦的可能,可疑交叉的心律紊乱用地高辛放免测定鉴别十分重要。中毒的死亡率高,用扩管治疗对预后有明显改观。
Abstract：This article reports the occurrence of digitalis intoxication caused by maintenance digitalis treatment in 64 elderly patients with heart failure. The results sugges that renal function failure,myocardial injury,hypoka- lemia,hypomagmesemia and rheumatic disease,etc,aggravate digitalis int- oxication.Indigitalis intoxication,cardiac arrhythmia is mainly ventricular ectopic rhythmia.When bradycardia,it may be s.s.s.If heart failure or digitalis intoxication cannot be differentiated,radio-immunoassay techniques are necessary for differetial diagnosis.The mortality of digitalis intoxica- tion is high.Vasodilator therapy will improve the prognosis.
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引用信息:
[1]刘基高,李光绍,袁家昌.老年心脏病心衰洋地黄中毒64例临床分析[J].广州医学院学报,1987(01):7-10.
1987-04-02
1987-04-02