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郭△,女,46岁。9年前因“风心病、二狭、房颤”在我院外科行二尖瓣分离术,术后3个月经电击复律后服胺碘酮维持窦性心律(0.2～0.4g/天)。继后一直服该药近9年。入院前两月,心电图发现“窦缓伴Ⅰ°AVB”而停药。一月后房颤复发,患者擅自将胺碘酮增加为3.2g/天(0.4q3h.po),服药两天转为窦性心律,但心悸、乏力、怕冷加重。近半年来先后7次发生一过性黑朦。既往无甲亢及慢支炎史。查体:T36.6℃,P54次/分,R15次/分,BP13.3/8.0kPa,面部色素沉着,口唇微绀,颈静脉无怒张,双肺呼吸音低,无
Guo △, female, 46 years old. 9 years ago because of “rheumatic heart disease, two narrow, atrial fibrillation” in our hospital surgical mitral valve surgery, after 3 months of electrical shock cardioversion amiodarone to maintain sinus rhythm (0.2 ~ 0.4g / day) . Subsequent to taking the drug for nearly 9 years. Two months before admission, electrocardiogram found “sinus slow with Ⅰ ° AVB” and withdrawal. Atrial fibrillation recurrence after January, the patient without amiodarone increased to 3.2g / day (0.4q3h.po), medication for two days into sinus rhythm, but palpitations, fatigue, increased fear of cold. In the past six months, there have been a sudden darkness 7 times. No past history of hyperthyroidism and chronic bronchitis. Physical examination: T36.6 ℃, P54 times / min, R15 beats / min, BP13.3 / 8.0kPa, facial pigmentation, micro-cyanosis of the lips, no jugular vein engorgement,