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例1患者男、50岁,主因“心悸、呼吸困难加重,伴恶心、呕吐、视物模糊”入院。该患风湿性心脏病史10余年,入院前曾自服地高辛0.5mg/d,双氢克尿噻25mg/d,共20天。入院后,生化检查示:K+3.2mmol/L,Na+130mmol/L,CL-88mmol/L。心电图示:心房颤动,RR间期相等,基本心室率42bpm,QRS
Case 1 male patient, 50 years old, mainly due to “palpitations, dyspnea increased, with nausea, vomiting, blurred vision” admission. The history of rheumatic heart disease for more than 10 years, before admission admitted to digoxin 0.5mg / d, hydrochlorothiazide 25mg / d, a total of 20 days. After admission, biochemical tests showed: K + 3.2mmol / L, Na + 130mmol / L, CL-88mmol / L. ECG shows: atrial fibrillation, RR interval is equal, the basic ventricular rate 42bpm, QRS