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患者女,58岁,慢肝病史二十余年,1988年10月15日晨起呕血约800ml,急诊入院,按肝硬化,门脉高压、食管胃底静脉曲张破裂出血处理。上午11点30分患者突然面色苍白,四肢抽搐,意识丧失,脉搏血压测不出,心音消失,即刻作心电示波显示Ⅲ度房室呼导阻滞。按阿—斯综合处理,立即静推阿托品1 mg并给予心外按摩,静滴异丙肾上腺素,经抢救患者清醒,血压9.33/5.33kea心率98次/分,心电示波器提示恢复为窦性心律,肢体导联低电压。下午5点上述症状再次出现,给予相应处理后患者于半分钟内恢复
Female patient, 58 years old, history of chronic liver disease more than twenty years, the morning of October 15, 1988 vomiting blood about 800ml, emergency admission, according to cirrhosis, portal hypertension, esophageal varices bleeding. 11:30 patients suddenly pale, limbs convulsions, loss of consciousness, pulse blood pressure can not be measured, the heart sounds disappear, immediately for ECG showed Ⅲ degree atrioventricular block. According to A - Si comprehensive treatment, immediately push off the atropine 1 mg and give an external massage, intravenous isoproterenol, the patient was awakened by rescue, blood pressure 9.33 / 5.33kea heart rate 98 beats / min, ECG prompts to return to sinus Rhythm, limb lead low voltage. 5 o’clock in the above symptoms appear again, given the appropriate treatment in patients recover within half a minute