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男,57岁,因“冠心、心绞痛、频发室早”反复住院。本次住院过程中于一日凌晨3时55分在睡中突然发作性心前区剧痛,并很快呼之不答,不省人事,心跳呼吸停止,脉搏血压测不到。立即加大氧流量,并行胸外挤压和人工呼吸,静注肾上腺素、静推利多卡因200mg+10％葡萄糖20ml,随后加压滴入5％碳酸氢钠100ml,约10分钟后见有极微弱呼吸2～3次,再快速静注洛贝林3mg。此后呼吸渐见增强,15分钟后心跳恢复,心率166次,可闻频发早搏,BP:100/50。遂改低流量吸氧,继续静滴利多卡因200mg及葡萄糖-胰岛素-氯化钾液等。此后,病情逐渐恢复,无不良后遗症。
Male, 57 years old, due to “coronary heart, angina, frequent room early” repeatedly hospitalized. The hospitalization process at 3:55 on the 1st day in the sudden onset of acute epicardial pain, and quickly call not answer, unconsciousness, heartbeat stopped, pulse pressure can not be measured. Immediately increase the oxygen flow, chest compressions and artificial respiration, intravenous injection of epinephrine, intravenous lidocaine 200mg + 10% glucose 20ml, followed by the dropwise addition of 5% sodium bicarbonate 100ml, see after about 10 minutes Very weak breathing 2 to 3 times, and then quickly intravenous Luo Bei Lin 3mg. Since then, breathing gradually increased, 15 minutes after the heartbeat recovery, heart rate 166 times, can be heard frequent premature beats, BP: 100/50. Then change the flow of oxygen, continued intravenous infusion of lidocaine 200mg and glucose - insulin - potassium chloride solution. Since then, the condition gradually recovered, no adverse sequelae.