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患者男,52岁,于2005年1月18日12:30主因胸骨后憋闷3天,加重1小时来我院急诊科就诊,突然抽搐,面色青紫,意识不清,呕吐,心电图示直线。立即给予胸外心脏按压,气管插管,吸痰,吸氧呼吸机辅助呼吸,建立静脉液路给予肾上腺素、利多卡因。12:33心电监护示室颤,立即给予200 J 非同步直流电除颤,随后心电监护示:加速的交界性逸博心律,心率110～140次/分,但血压测不到。12:35患者又开始抽搐,呕吐,即给予吸痰,鲁米那钠100 mg 肌注,安定缓慢静推。12:37患者心率逐渐减慢至50次/分,出现室颤,立即给予200J 非同步直流电除颤。12:38心电监护示:加速的交界性逸搏心律,心率110～140次/分,血压45/0 mmHg,给予去甲肾上腺素1 mg 入输液壶腹,同时维持静点。12:45患者心率再次逐渐缓慢,50次/分时再次出现室颤,又给予电除颤。12:46心电监护示:窦性心律,心率100～130次/分,654-2注射液10 mg 入壶,冰帽头部物理降
Patient male, 52 years old, at 12:30 on January 18, 2005 mainly because of the sternum after 2 weeks of complacency, increased 1 hour to our emergency department treatment, sudden convulsions, bruising, unconsciousness, vomiting, ECG showed a straight line. Immediately given chest cardiac pressure, endotracheal intubation, suction, breathing machine assisted breathing, the establishment of venous fluid to give epinephrine, lidocaine. 12:33 Cardioversion showed ventricular fibrillation, immediately given 200 J asynchronous DC defibrillation, followed by ECG monitoring showed: acceleration of borderline aneurysm, heart rate 110 ~ 140 beats / min, but not measured by blood pressure. 12:35 Patients began to convulsions, vomiting, that is, given sputum aspiration, luminal sodium 100 mg intramuscularly, stability and slow push. 12:37 Patients with heart rate gradually slowed down to 50 beats / min, the occurrence of ventricular fibrillation, immediately given 200J asynchronous DC defibrillation. 12:38 ECG monitoring showed: accelerated junction esophageal rhythm, heart rate 110 ~ 140 beats / min, blood pressure 45/0 mmHg, given norepinephrine 1 mg into the ampulla of infusion, while maintaining the static point. 12:45 Patient heart rate gradually slow again, 50 times / min ventricular fibrillation again, and given defibrillation. 12:46 ECG monitoring showed: sinus rhythm, heart rate 100 to 130 beats / min, 654-2 injection 10 mg into the pot, ice cap head physical drop