58 202 2020452101

)122020/10

T: 36.4 P200/ R20/ BP70/40mmHg 200/SM36

CK 70.6U/L CK-MB 29U/L 5.9mmol/L 124umol/L 12.42mmol/L k 5.42mmol/LBNP 782pg/ml aTnI 1.92 ng/mlTSH 2.730uIU/ml, FT3 3.59pg/ml, FT4 14.69 pmol/L , 5.6%

LVD54mm3.6

BP70/40mmHg 150mg100mg iv 34/

29150mg6s

Holter 480 56 RR2.0s 1188 4136ms ST

ICD?ICD+

1-2CPRVF/VT/2-3CPRVF/VT,

+

10200mg qd

1

2 QT

3 24

QTQRS ,,,,

,,10 min ,,34 ,,

,,,,,300 mg 10 min ,

,,

,,,,( PRQRSQTQTc)

,ICDICD ,30 %70 %ICD ,,2,,,200300 mg/ d

,,,,,

3 : 300 mg ,5 %,10 min () ,10 15 min 150 mg ,6 h 1 mg/ min,18 h 0. 5 mg/ min ,1 24 h 2 000 mg 2 24 h 720 mg/ 24 h ,0. 5 mg/ min

,150 mg ,5 %,10 min 1015 min ,150 mg

,;,8001600 mg/ d ,,23 400 mg/ d ,200300 mg/ d ICD ,(200 mg/ d) ,,

,,, ,,,,,

120 ( %) ;X ,;;;;,

30 % ,, 1550 % 2 ,< 3 % , () 122%

< 3 % ,, < 10% , 2575 % 330% ,,,,, ,

< 5 % , 1 % > 90 % , 5% ,, < 1% < 1%,

:,,,,,,

,() () () () () ; ,2, ; ICD

() () ,X 1 ,3 ,