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患者男性。33岁,因面部粟粒性狼疮,于1979年10月自服焙干的蟾蜍1只后,感上腹部不适,片刻自行缓解;2周后再服1只,1小时后头晕胸闷、口唇麻木、恶心呕吐而急诊入院。查体:神清,BP 105/80,双肺无异常,P 44次/分,心律整,心音低钝,无杂音。剑突下轻压痛。EKG 示Ⅲ度房宣传导阻滞(A-VBⅢ°),血、尿常规及肝功能均无异常。入院后给予吸氧、心电监测及静脉滴注氢化可的松200mg、阿托品0.5mg 治疗,2小时后心率58次/分,EKG 示A-VBⅡ°,呈2:1传导。持续上述治疗,加用肥皂
Patient male. 33 years old, due to facial miliary lupus, self-service drying toad in October 1979 after a sense of abdominal discomfort, a moment to ease itself; 2 weeks before taking one, 1 hour after dizzy chest tightness, numbness of the lips, Nausea and vomiting and emergency admission. Physical examination: God clear, BP 105/80, no abnormal lungs, P 44 beats / min, heart rhythm, low heart sound blunt, no noise. Slight tenderness under the xiphoid. EKG showed III degree room propaganda block (A-VB Ⅲ °), blood, urine and liver function were normal. Admitted to hospital after oxygen, ECG monitoring and intravenous infusion of hydrocortisone 200mg, atropine 0.5mg treatment, 2 hours after the heart rate 58 beats / min, EKG showed A-VB Ⅱ °, was 2: 1 conduction. Continue the above treatment, add soap