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2岁男患儿,因慢性腹泻7～8个月伴严重脱水。查神清,重度脱水貌,第一心音低钝,律130次/分,肝右肋下3cm,腹胀,腱反射消失。血钾3.1mEq/L,血钠和血钙分别是119mEq/L和10mg/dl,二氧化碳结合率为43容积/L。余病史、体征和化验无特殊。入院当天突然又全身抽搐,口唇发绀,两眼凝视,继呼吸心跳停止。经抢救约2分钟后心跳呼吸复苏。入院4天(每天数次至10数次)类似发作有55次。每次心电监护示典型的尖端扭转型室速变化。给予激素、阿托品、氯化钾、钙剂等治疗。
2-year-old male child, due to chronic diarrhea 7 to 8 months with severe dehydration. Check the gods, severe dehydration appearance, the first heart sound low blunt, law 130 beats / min, liver right ribs 3cm, abdominal distension, tendon reflex disappeared. Blood potassium 3.1mEq / L, serum sodium and serum calcium 119mEq / L and 10mg / dl, carbon dioxide binding rate of 43 volumes / L. I history of illness, signs and tests no special. Suddenly admitted on the day of convulsions, lips cyanosis, his eyes staring, following the respiratory arrest. After about 2 minutes of rescue heartbeat breathing recovery. 4 days admission (several times a day to 10 times) a similar episode 55 times. Each ECG shows typical torsades de pointes changes in VT. Give hormones, atropine, potassium chloride, calcium and other treatment.