1984年6月16日,我院在无电除颤设备条件下,使用心肺复苏法100分钟,抢救1例心脏性猝死获得成功。经10天观察,病情稳定,重要器官功能恢复良好。现将体会报告如下。病历摘要刘某,男性,40岁,干部。1984年5月18日因胸闷、心悸1个月,加重,伴气急、活动受限1周,以病毒性心肌炎收住院。既往有晕厥及高血压史。检查:体温36.3℃、脉搏90次、呼吸20次,血压80/64,一般情况良好。肺部听诊呼吸音清晰;心率90次,心律齐,心音低钝,可闻及S_3,以胸骨左缘3～4肋间明显,心尖区可闻Ⅰ级舒张期杂音,心界向左下扩大。腹软,肝脾未触及。肝颈反流征阴性。双下肢轻度浮肿。化验检查:白细胞10,400,其他常规及生化检查均正常。X线摄片:右室增大。心电 June 16, 1984, our hospital without defibrillation equipment conditions, the use of cardiopulmonary resuscitation method for 100 minutes, rescue one case of sudden cardiac death was successful. After 10 days of observation, the condition was stable and the vital organs recovered well. Now experience the report is as follows. Medical record summary Liu, male, 40 years old, cadre. May 18, 1984 due to chest tightness, palpitations 1 month, aggravated, with acute gas, limited activities 1 week, admitted to hospital with viral myocarditis. Past history of syncope and hypertension. Check: body temperature 36.3 ℃, pulse 90 times, breathing 20 times, blood pressure 80/64, the general situation is good. Pulmonary auscultation breath sounds clear; heart rate 90 times, heart Qi Qi, heart sound low blunted, can be heard and S_3, to the left sternal intercostal 3 ~ 4 intercostal obvious, apex diastolic murmur can smell the heart widened to the lower left. Abdomen soft, liver and spleen not touched. Liver reflux syndrome negative. Lower extremity mild edema. Laboratory tests: white blood cells 10,400, other routine and biochemical tests were normal. X-ray: right ventricular enlargement. ECG