论文部分内容阅读
男性,53岁。因突发心悸、胸闷、气急2小时于1982年4月19日来院急诊。当时心率200次,心律不规则,血压120/80mmHg,心电图示“预激综合征,心房颤动,心室率190次”。急诊值班医师给予50%葡萄糖40ml+异搏停10mg,缓慢静脉注射。当注入约25ml 时,病人突然烦躁不安,神志迟钝,面色苍白,四肢厥冷,遍身出汗,血压60/30mmHg,即停止注射。心电图检查示“心房颤动,心室率300次”。即予以普鲁卡因酰胺、利多卡因、多巴胺和间羟胺等治疗,2小时后心室率减慢至220次,血压70/60mmHg。再予利多卡因100mg
Male, 53 years old. Due to sudden heart palpitations, chest tightness, shortness of breath 2 hours in April 19, 1982 hospital emergency. Heart rate was 200 times, irregular heartbeat, blood pressure 120 / 80mmHg, ECG shows “Wolff-Parkinson’s syndrome, atrial fibrillation, ventricular rate 190 times.” Emergency doctor on duty given 50% glucose 40ml + verapamil stop 10mg, slow intravenous injection. When about 25ml injection, the patient suddenly irritable, sluggish, pale, limbs, cold, sweating, blood pressure 60 / 30mmHg, stop injection. ECG showed “atrial fibrillation, ventricular rate 300 times ”. That is to be procainamide, lidocaine, dopamine and m-hydroxylamine treatment, 2 hours later ventricular rate slowed to 220 times, blood pressure 70 / 60mmHg. Give lidocaine 100mg again