摘要
1病例资料
患者,女,87岁,主因＂胸闷、气急4年余,头晕伴恶心呕吐5h＂入院。4年前开始因胸闷、气急反复入院,诊断为冠心病,心律失常永久性心房颤动（房颤）,心功能Ⅲ级（NYHA）;高血压病。经抗心力衰竭（心衰）、控制心室率、控制血压等对症处理,病情好转出院,长期口服地高辛0.125mg,1次/d。2013-09-06晨出现头晕伴恶心呕吐,有黄绿视,
A 87-year-old female patient suffered from heart failure and atrial fibrillation,who had been treated with digoxin for a long term.She was admitted and diagnosed as digitalism by detecting digoxin concentration because for nausea and vomiting.The symptoms of nausea and vomiting were not ease and abdominal pain appeared at the decreased digoxin concentration after treatment,then she was considered as splenic infarction by the abdominal computed tomography（CT）scanning.Case of splenic embolization caused by atrial fibrillation is rare, which is easy to overlook for the non-specificity symptom of splenic infarction.We should take it into consideration seriously.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2014年第5期458-459,共2页
Journal of Clinical Cardiology
关键词
心房颤动
洋地黄中毒
脾梗死
atrial fibrillation
digitalism
splenic infarction
