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患者,男,57岁。入院前1h因风湿性关节炎,饮用药酒15ml,约0.5h后患者出现全身烧灼感,麻木无力,继而胸闷气急.随后意识丧失.四肢抽搐。于1996年10月25日急诊人院,既往风湿性关节炎史20余年,询问其家属.该药酒系由生川乌,生草乌配制而成。查体:T36.8℃.P150次/min,R 30次/min.BP8 5.5kPa.神志不清.烦躁不安.面色苍白,双侧瞳孔约3.5cm.对光反射灵敏,颈软.双肺呼吸音粗,心界不大.心率150次/min.律整,心音低,未闻及杂音,腹软.肝脾未触及.双下肢无浮肿.心电图示室性心动过速。诊断:乌头碱中毒、室速、心源性休克。立即给予吸氧.心电监护.并给予同步电击复律.电量180焦耳.未成功.随后患者病情恶化.心跳、呼吸停止,心电监护示室颤.急给予胸外心脏按压,气管插管,并给予非同步电击复律,电量360焦耳,转复为
Patient, male, 57 years old. 1h before admission due to rheumatoid arthritis, drinking wine 15ml, about 0.5h after the patient appeared systemic burning sensation, numbness weakness, followed by chest tightness and shortness of breath. Then loss of consciousness. Limbs convulsions. In October 25, 1996 emergency hospital, past history of rheumatoid arthritis more than 20 years, asked their families.The medicinal wine by the Health Chuanwu, prepared from raw grass. Physical examination: T36.8 ℃. P150 times / min, R30 times / min.BP8 5.5kPa. Unconsciousness. Irritability. Pale white, bilateral pupil about 3.5cm. Sensitive to light reflex, neck soft lung Breath sounds coarse, heart is not heart rate 150 times / min. Law, heart sounds low, no smell and noise, abdomen soft. Liver and spleen not touched. No swelling of both lower extremities. ECG showed ventricular tachycardia. Diagnosis: aconitine poisoning, VT, cardiogenic shock. Immediately given oxygen. Electrocardiogram monitoring. And to provide synchronous shock cardioversion. Power 180 joules. Did not succeed. Then the patient’s condition deteriorated. Heartbeat, respiratory arrest, ECG monitoring showed ventricular fibrillation. Emergency given chest compression, tracheal intubation, And to give non-synchronous shock cardioversion, power 360 joules, turn to