忽视药物禁忌治病反致命──２例氨茶碱使用不当造成病人死亡的教训例１男，５８岁。因突发心前区剧痛１小时于晚８时急诊入院。既往患有风湿性心瓣膜病３０余年，心房纤颤３年。查体：体温３６℃，脉搏短绌，１００次／分，血压１０／６ｋＰａ，神清，呻吟不止，痛苦面容... Neglect of drug taboo treatment of anti-fatal ─ ─ 2 cases of improper use of aminophylline caused the patient’s death case 1 male, 58 years old. Emergency area due to sudden pain 1 hour emergency admission at 8 o’clock in the evening. Previously suffering from rheumatic heart disease more than 30 years, 3 years of atrial fibrillation. Physical examination: body temperature 36 ℃, shortness of breath, 100 beats / min, blood pressure 10 / 6kPa, Shen Qing, groaning, painful face ...