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肾上腺素(AD)是心肺复苏(CPR)中的首选药物,而异丙基肾上腺素(IS)在复苏中通常是有选择性的应用。我们观察了CPR中应用大剂量肾上腺素(HAD)和IS的临床效果,现报告如下。 1 资料和方法 1.1 临床资料 60例心脏骤停患者,其中心脏直视手术后并心脏骤停患者36例,重度法乐四联症(F_4)16例,F_54例,室缺并肺动脉高压4例,风心病瓣膜置换术11例,先天性二尖瓣脱垂瓣膜置换术1例。其中术后低心排28例,恶性心律失常6例,高血钾致
Adrenaline (AD) is the drug of choice in cardiopulmonary resuscitation (CPR), and isoproterenol (IS) is usually a selective use in resuscitation. We observed the clinical application of high-dose epinephrine (HAD) and IS in CPR, the report is as follows. 1 Materials and Methods 1.1 Clinical data 60 cases of cardiac arrest patients, including open heart surgery and cardiac arrest in 36 patients, severe tetralogy of Fallot (F_4) in 16 cases, F_54 cases, atrial and pulmonary hypertension in 4 cases , Rheumatic heart disease valve replacement in 11 cases, congenital mitral valve prolapse valve replacement in 1 case. Postoperative low cardiac output in 28 cases, 6 cases of malignant arrhythmia, hyperkalemia induced