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报告1例黄芪2号方联合西药治疗室性早搏。男,58岁,阵发性胸闷心慌1年余,加重1月。室性早搏10年余,1月前因生气心慌、胸闷加重,舌暗红,苔黄厚,脉弦滑。动态心电图:频发室性早搏,有时呈而二联律、三联律,ST-T异常。治以益气活血,清热化痰,宁心定悸,黄芪2号方加减,黄芪30g,黄连15g,半夏10g,苦参30g,青蒿15g,常山30g,枳实15g,人参、麦冬各30g,莲子心15g,茯苓20g,炙甘草9g,7剂,水煎500 m L,早晚温服。拜阿斯匹灵0.1g/次,1次/d;瑞舒伐他汀钙片5mg/次,1次/d;通脉养心丸40/次,2次/d。治疗4周,心慌、胸闷消失,睡眠改善,复查24h动态心电图,偶发室性早搏,ST-T异常。
Report of 1 case of Astragalus 2 prescription combined with western medicine treatment of ventricular premature beats. Male, 58 years old, paroxysmal chest tightness, palpitation more than 1 year, increased in January. Ventricular premature beats more than 10 years ago, 1 month ago due to angry palpitation, increased chest tightness, dark red tongue, thick yellow fur, slippery pulse. Holter: Frequent ventricular premature beats, and sometimes two associated law, triple law, ST-T abnormalities. Radix Astragali 2g plus and minus, Astragalus 30g, berberine 15g, Pinellia 10g, Sophora 30g, Artemisia annua 15g, Changshan 30g, citrus aurantium 15g, ginseng, wheat Winter 30g, lotus heart 15g, Poria 20g, Baked Licorice 9g, 7 agents, decoction 500ml, morning and evening warm clothes. Thanks to aspirin 0.1g / time, 1 / d; rosuvastatin calcium tablets 5mg / time, 1 / d; Tongmai Yangxin Wan 40 / times, 2 times / d. Treatment for 4 weeks, palpitation, chest tightness disappeared, sleep improvement, 24h review of Holter, premature ventricular premature beats, ST-T abnormalities.