近年来不少临床工作者在处理心力衰竭时,常以硝苯吡啶与地高辛合用。而前者易诱发洋地黄中毒现象鲜为人知,有关报告甚少。笔者发现一例,报告如下。 刘×,男,22岁,住院号308221,因劳力性心悸,气促6年,症状加重1月,于1987年8月17日入院。6年前患者在某医院诊断为“风湿性心脏病、二尖瓣狭窄与关闭不全、主动脉瓣关闭不全、心脏扩大、心力衰竭”,常服地高辛0.25mg/日,症状即缓解。入院体查:半坐卧位,呼吸32次/分,脉搏100次/分。颈静脉充盈,颈动脉搏动。双肺基底部可闻少量湿罗音。心界向左下扩大,心率140次/分,节律绝对不齐,心尖区可闻Ⅲ/Ⅵ级收缩期吹风样杂音及舒张期隆隆样杂音、主动脉瓣区舒张期吹风样杂音。肝于右肋下2cm。下肢中 In recent years, many clinical workers in the treatment of heart failure, often combined with nifedipine and digoxin. The former easily induced digitalis poisoning is little known, the report little. I found a case, the report is as follows. Liu ×, male, 22 years old, hospital number 308221, due to exertional heart palpitations, shortness of breath 6 years, the symptoms increased in January, was admitted on August 17, 1987. 6 years ago, a patient diagnosed in a hospital as “rheumatic heart disease, mitral stenosis and insufficiency, aortic valve regurgitation, heart enlargement, heart failure,” often taking digoxin 0.25mg / day, the symptoms ease. Admission physical examination: half-sitting position, breathing 32 beats / min, pulse 100 beats / min. Jugular vein filling, carotid artery pulsation. A small amount of wet rales can be heard at the base of the lungs. Heart to the left to expand, the heart rate 140 beats / min, rhythm is absolutely missing, apex area can be heard Ⅲ / Ⅵ systolic hair-like murmur and diastolic rumbling noise, aortic valve area diastolic hair-like murmur. Liver right ribs 2cm. Lower limbs