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1 病例介绍患者女性,83岁。因突然晕倒后95分钟急诊入院。查体:急性重病容,P:125次/分,BP:8.3/6.7 kPa(62/50 mmHg)。ECG示急性前间壁心肌梗死,频发性室早。入院后即给予利多卡因600 mg、多巴胺20 mg、间羟胺10 mg加入5%葡萄糖液500 ml内静滴,利多卡因50 mg壶入。77分钟后室早消失.BP:11.6/8.8kPa(87/66 mmHg),此时又用多巴酚丁胺(上海第一制药厂生产。批号沪Q/WS—1-1665-85)200 μg·kg~(-1)/
1 case description Female patient, 83 years old. After a sudden fainting 95 minutes emergency admission. Examination: Acute serious illness, P: 125 beats / min, BP: 8.3 / 6.7 kPa (62/50 mmHg). ECG showed acute anterior myocardial infarction, frequent ventricular early. After admission, lidocaine 600 mg, 20 mg of dopamine and 10 mg of meta-hydroxylamine were added to 500 ml of 5% dextrose solution for intravenous infusion and lidocaine 50 mg was added. 77 minutes later disappear early .BP: 11.6 / 8.8kPa (87/66 mmHg), then use dobutamine (Shanghai No. 1 Pharmaceutical Factory production batch number Q / WS-1-1665-85) 200 μg · kg -1 /