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患者,女性,39岁。诊断:风湿性心脏病、联合瓣膜病、二尖瓣狭窄并关闭不全主动脉瓣狭窄并关闭不全、心脏扩大、心功能Ⅲ级、阵发性室上速。患者发现风心病16年,长年自行口服地高辛每日2片12年。1990年10月2日,因心慌气短加剧,不能平卧,自行将地高辛改为3片/日,连用4天,症状不仅不缓解,反之加重,于10月7日又请赤脚医生静注毒-K0.25mg,8日因心慌心悸不减又自行服用地高辛6片/日。次日出现恶心、呕吐、视物模糊,即
Patient, female, 39 years old. Diagnosis: rheumatic heart disease, valvular disease, mitral stenosis and closed aortic stenosis and insufficiency, heart enlargement, cardiac function Ⅲ, paroxysmal supraventricular tachycardia. Patients found rheumatic heart disease 16 years, long-term oral self-administration of digoxin 2 tablets daily for 12 years. October 2, 1990, due to increased flustering shortness of breath, can not lie down, to be changed to digoxin 3 / day, once every 4 days, the symptoms not only did not ease, but on the contrary, on October 7 and barefoot doctor Injecting poison-K0.25mg, on the 8th due to palpitation palpitations diminished and take their own digoxin 6 / day. The next day nausea, vomiting, blurred vision, that is