患者女性，６６岁，曾因病态窦房结综合征植入心脏起搏器后一直口服普鲁帕酮，剂量７５ｍｇ，ｔｉｄ，８个月未见不良反应，后因左侧肢体偏瘫住院。诊断为脑栓塞（右）。给予甘露醇、川芎嗪、心痛定等治疗，并停服普鲁帕酮，第９天患者出现心房纤颤，当即给予普鲁帕酮７５... Patients, female, 66 years old, had been given oral palpisone because of sick sinus syndrome after oral administration of pacemaker. The dose was 75 mg, tid, and no adverse reaction was seen after 8 months. The patients were hospitalized for paralysis on the left limb. Diagnosis of cerebral embolism (right). Give mannitol, ligustrazine, nifedipine and other treatment, and stop taking palmatine, the first 9 days of patients with atrial fibrillation, immediately give serotonin 75 ...