乙胺碘呋酮治疗心律失常已较普遍,副作用亦不断发现。而地高辛并用乙胺碘呋酮引起死亡的病例尚少报道。我院内科曾遇一例。报告如下: 邹××、女、59岁。病案号29213。因心悸、气短一年,加重三天于1984年10月23日入院。每逢冬季咳、喘二十余年,1984年6月27日曾住本院、诊断“慢性支气管炎阻塞性肺气肿、肺心症、心衰”。肌注抗生素、口服氨茶硷0.2克,每日三次,地高辛0.25mg,每日一次。两周后心衰纠正。当时心电图示:窦性心律,完右,偶发室早。本次入院诊断:上感、心衰Ⅲ度伴心律不齐。血化验:白细胞15,600/mm~3:S77％,L23％,血清钠312mg％、钾16.5mg％、氯355mg％;胸透示双肺透明度增强,右室增大,心搏较弱,不规则。除用抗生素,利尿剂外,10月24日开始服用地高辛0.25 Amiodarone treatment of arrhythmia has been more common, side effects have also been found. However, few cases of death caused by digoxin and amiodarone have been reported. A case of internal medicine in our hospital. The report is as follows: Zou × ×, female, 59 years old. Case No. 29213. Due to heart palpitations, shortness of breath year, aggravating three days in October 23, 1984 admission. Every winter cough, wheezing twenty years, June 27, 1984 once lived in our hospital, diagnosis of “chronic bronchitis obstructive emphysema, pulmonary heart disease, heart failure.” Intramuscular antibiotics, oral aminophylline 0.2 g, three times daily, digoxin 0.25mg, once daily. Heart failure corrected two weeks later. Electrocardiogram at that time: sinus rhythm, right, sporadic early. The admission diagnosis: on the flu, heart failure Ⅲ degree arrhythmia. Blood tests: white blood cells 15,600 / mm ~ 3: S77%, L23%, serum sodium 312mg%, potassium 16.5mg%, chlorine 355mg%; chest revealed double lung transparency, right ventricular enlargement, weak heartbeat, irregular . In addition to antibiotics, diuretics, October 24 began taking digoxin 0.25