本文介绍1例因服用大剂量心得安引起心动过缓、心脏与呼吸停顿、搐抽,后经应用体外皮人工起搏抢救成功的病例。患者女性,40岁,平时未服药,此次自服心得安胶囊120粒(4.8g)。送往医病途中发生心室纤颤,立即行心肺复苏并8次除颤,心律无变改。入院时对语言及疼痛刺激均无反应,血压和搏脉测不到,呼吸频率为10min。在急救室内立即进行心肺复苏,气管内插管,迅速建立输液通路,静注肾上腺素1mg、纳络酮(nalo-xone)4安瓿及50%葡萄糖50ml。于第5次除颤后,心律变为一过性心室自搏节律,随之进展为心室停顿,静注阿托品1mg 仍无改善,此时采血测血浆心得 This article describes a case due to taking large doses of anxiety caused by bradycardia, cardiac and respiratory arrest, convulsions pumping, after the successful application of external skin pacing rescue cases. Female patient, 40 years old, usually without medication, this self-service An Capsule 120 capsules (4.8g). Ventricular fibrillation occurred on the way to medical treatment, cardiopulmonary resuscitation and defibrillation immediately 8, no change in heart rate. Admission to the language and pain were not stimulated stimulation, measured blood pressure and pulse pulse, respiratory rate of 10min. Cardiopulmonary resuscitation and endotracheal intubation were performed immediately in the emergency room. Infusion routes were established promptly. Intravenous epinephrine 1 mg, naloxone 4 ampoules and 50% glucose 50 ml were intravenously administered. After the fifth defibrillation, the heart rhythm became a transient ventricular stroke rhythm, followed by progression to ventricular arrest, intravenous injection of atropine 1mg still no improvement, this time blood test plasma experience