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1 临床资料 患者,女性,22岁,因风湿性心脏瓣膜病NYHA 4级入院,入院后病情曾一度得到控制,拟行人工瓣膜置换术。因风湿再次活动,先抗风湿治疗,历时1年余,风湿活动仍未完全控制,心电图为房颤,左右心房大,于1988年7月19日出院继续门诊治疗。当日患者顾虑重重,遂产生轻生念头,于上午10时口服地高辛50片(1.25g),2h后出现恶心、呕吐、大汗、四肢末梢冰凉,12h后感腹痛、腹泻、大便呈糊样,频繁呕吐、视力减退、心率40次/min,血压12/8kPa,心电图示房颤,交界区逸搏心律,
1 Clinical data Patients, female, 22 years old, admitted to NYHA Class 4 for rheumatic heart disease, admitted to hospital once the condition was controlled, the proposed artificial valve replacement. Due to rheumatism activity again, the first anti-rheumatic treatment, which lasted more than 1 year, rheumatic activity is not yet fully controlled, atrial fibrillation, atrial fibrillation, left atrium, was discharged on July 19, 1988 outpatient treatment. On the day of patients with serious concerns, then gave birth to an idea, at 10:00 orally oral digoxin 50 (1.25g), 2h after nausea, vomiting, sweating, cold extremities, abdominal pain after 12h, diarrhea, stool paste , Frequent vomiting, vision loss, heart rate 40 beats / min, blood pressure 12 / 8kPa, ECG atrial fibrillation, junction zone escape rhythm,