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男,60岁。因胸痛20分钟于7时30分就诊。既往有慢性支气管炎病史,无高血压、冠心病、糖尿病、高脂血症。查心电图(ECG)示大致正常,无其他阳性体征。肌肉注射地西泮10mg,罂粟碱30mg。于8时45分突然出现抽搐,呼吸、心跳停止,立即给予气管插管球囊辅助呼吸,胸外心脏按压,建立液路。心电监护示心室纤颤,立即予肾上腺素2mg共2次、阿托品1mg静脉注射,5％碳酸氢钠50ml静脉滴注,并行电击除颤(200WS,300WS,300WS,360ws)共4次,于9时15分恢复窦
Male, 60 years old. Due to chest pain at 20:30 for treatment at 7:30. Past history of chronic bronchitis, no hypertension, coronary heart disease, diabetes, hyperlipidemia. Check ECG (ECG) showed roughly normal, no other positive signs. Diazepam intramuscular injection of 10mg, papaverine 30mg. At 8:45 suddenly appeared convulsions, breathing, cardiac arrest, immediately give tracheal intubation balloon assisted breathing, chest cardiac pressure, the establishment of liquid path. Cardiac electrocardiographic monitoring showed ventricular fibrillation, 2 mg of epinephrine was given immediately, intravenously 1 mg of atropine, 50 ml of 5% sodium bicarbonate, and 4 times of defibrillation in parallel (200WS, 300WS, 300WS, 360ws) 9:15 to restore sinus