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女,15岁,因间歇剑突下痛半年多,间歇黑便半月余,经X线钡餐检查,诊断为十二指肠球部溃疡入院。入院体查:心界不大,心率100次,心音规律,心尖可闻Ⅱ级收缩期杂音。肺、肝、脾无异常体征发现。入院后经用甲氰咪胍0.6克加入10%葡萄糖500ml静滴,每日1次,至用药第6天,患者诉心前区不适,听诊发现心律不整。即作心电图检查,确诊为房室传导阻滞Ⅱ°(文氏型),窦房传导阻滞和窦性心律不整。即停用甲氰
Female, 15 years old, because of intermittent xiphoid pain more than six months, intermittent black and white more than a month, the barium meal examination by X-ray, diagnosis of duodenal ulcer admitted. Admission investigation: heart is not big, heart rate 100 times, heart sound law, apical can smell Ⅱ systolic murmur. No abnormal signs of lung, liver and spleen were found. After admission by cimetidine 0.6 g 10% glucose 500ml intravenous infusion, once daily, to the medication on the 6th day, the patient complained about the anterior discomfort, auscultation found arrhythmias. That for the electrocardiogram, diagnosed as atrioventricular block Ⅱ ° (Venturi), sinoatrial block and sinus rhythm irregular. That is to disable cyanide