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广州市红十字会医院内科收治一例尖端扭转型室性心动过速患者(以下简称扭转型室速),经用异丙基肾上腺素静脉滴注疗效不佳,改用硫酸镁静脉注射效果良好。现将本例报告如下。患者女性,74岁,住院号326164,因二天来头晕,胸闷加剧,晕厥两次,于1984年12月27日17时入院。患者有冠心病史一年多,83年心电图曾出现Ⅱ度房室传导阻滞及冠状动脉供血不足。体检:体温36.7℃,脉搏40次/分,呼吸20次/分,血压170/80mmHg,神志清,烦燥不安,心界不大,心率40次/分,心律不整,心尖区第
Guangzhou Red Cross Hospital, a case of patients with reversible ventricular tachycardia torsades de pointes (hereinafter referred to as torsades de ventricular tachycardia), the use of isoproterenol intravenous infusion of ineffective, switch to good results with magnesium sulfate intravenous injection. This case report is as follows. Female patient, 74 years old, hospitalization number 326164, was dizzy for two days, increased chest tightness, fainting twice, at 17:00 on December 27, 1984 admission. Patients with coronary heart disease more than a year, 83 years of ECG had Ⅱ degree atrioventricular block and coronary insufficiency. Physical examination: body temperature 36.7 ℃, pulse 40 beats / min, breathing 20 beats / min, blood pressure 170 / 80mmHg, clear mind, irritability, heart, heart rate 40 beats /