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患者,男,52岁.因冠心病、频发室早于1992年6月18日入院.既往无肺、胸膜疾患.检查除心电图示频发室早外、X线胸片、二维超声心动图、肝肾功能等均正常.予口服胺碘酮600mg/d,服药第3天室早消失.第7天患者自觉胸闷,X线胸片示双侧胸腔少量积液,诊断性穿刺抽取100ml淡黄色液体,实验室检查为渗出液.为除外胺碘酮引起的可能,即停用胺碘酮改服心律平600mg/d.胸闷症状第5天消失,胸水第10天自行吸收.1月后患者因心律平控制室早不满意自服胺碘酮600mg/d,服药第5天又
Patients, male, aged 52. Due to coronary heart disease, frequent room admission as early as June 18, 1992. Previously no lung, pleural disease.Examination in addition to the early ECG electrocardiogram, X-ray, two-dimensional echocardiography Figure, liver and kidney function were normal to oral amiodarone 600mg / d, taking the first 3 days disappear as early as the first 7 days of patients with chest tightness, chest X-ray showed a small amount of bilateral pleural effusion, diagnostic puncture 100ml Pale yellow liquid, laboratory tests for the exudate. Except for amiodarone caused the possibility of discontinuation of amiodarone to change the service cardioversion 600mg / d. Chest pain symptoms disappeared on the 5th day, 10 days of pleural effusion self-absorption .1 Month after the patient because of ventricular arrhythmia control room early satisfied with amiodarone 600mg / d, taking the first 5 days