患者,男性,41岁。以下壁心肌梗塞(演变期)并发室性早搏、短阵室性心动过速于1989年5月11日住院。入院后经扩冠、疏通微循环、抗心律失常治疗,持续六天来发生室性早搏。于住院第七天,心电图发现插入性室性早搏,二联律,一分钟后,病人突然四肢抽搐、意识丧失、呈喘息样呼吸10次/分(并渐变浅变慢至四分钟后,呼吸停止),瞳孔6mm、颈动脉搏动消失,心音消失,血压%kPa。即刻以80～100次/分胸外心脏按压,16次/分人工呼吸,应用呼吸兴奋剂,多巴胺静点,并于呼吸停止之时完成气管插管,507气囊挤压呼吸。心电示波反复室颤、室性自搏,于心脏骤停20分钟内多 Patient, male, 41 years old. The following wall myocardial infarction (evolutionary) complicated by premature ventricular contractions, paroxysmal ventricular tachycardia hospitalized on May 11, 1989. After admission by the expansion of the crown, dredge microcirculation, anti-arrhythmia treatment, sustained six days to occur premature ventricular contractions. In the seventh day of hospitalization, ECG found inserted premature ventricular contractions, two joint law, one minute later, the patient suddenly limbs twitch, loss of consciousness, was wheezing like breathing 10 beats / min (and gradually shallow to slow to four minutes after breathing Stop), pupil 6mm, carotid pulse disappeared, disappeared heart sounds, blood pressure% kPa. Immediately with 80 to 100 beats per minute external cardiac pressure, 16 times / min artificial respiration, the application of respiratory stimulants, dopamine static point, and to complete endotracheal intubation at the time of respiration, 507 balloon squeeze the breath. ECG repeated ventricular fibrillation, ventricular stroke, cardiac arrest more than 20 minutes