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急性心肌梗塞早期常发生心动过缓,有人认为此乃室颤的重要先兆,因而推荐阿托品做为早期缓慢型心律失常的常规疗法,无低血压及室性异位博动者亦不例外。但近年对此提出严重怀疑。阿托品诱发室颤国内外均有报道。我们遇到1例急性下后壁心肌梗塞,肌注阿托品后诱发严重心律失常,报道如下:
Early onset of acute myocardial infarction often occurs bradycardia, some people think this is an important sign of ventricular fibrillation, and therefore recommend atropine as a routine treatment of early arrhythmia, no hypotension and ventricular ectopic Bo is no exception. However, serious doubts have been raised in this regard in recent years. Atropine induced ventricular fibrillation have been reported both at home and abroad. We encountered 1 case of acute posterior wall myocardial infarction, intramuscular injection of atropine induced severe arrhythmia, reported as follows: