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患者,女,60岁,因上腹部无规律疼痛伴恶心、呕吐20天来院要求胃镜检查。门诊查体:BP 16/10kPa,呼吸平稳,轻度贫血貌,右肺呼吸音较左侧稍低,双肺底闻及少许湿性罗音,心率108次/min,律齐,各瓣膜听诊区未闻及病理性杂音。心电图示:窦性心动过速,ST-T无异常。心脏B超无异常。既往无冠心病史,术前2％的卡因喷雾咽部麻醉,未用抗胆碱类药物。使用Olympus-GIF~(P3)型胃镜顺利插至胃体时,患者突然出现双眼凝视,口唇发绀,呼吸停止。迅速拨镜,测心率80次/min左右,律齐,心音弱,立即
Patients, female, 60 years old, due to irregular upper abdominal pain associated with nausea, vomiting 20 days to hospital for gastroscopy. Outpatient examination: BP 16 / 10kPa, stable breathing, mild anemia, right lung breath sounds slightly lower than the left, the bottom of the lungs smell a little wet rales, heart rate 108 beats / min, law Qi, the valvular auscultation area Unheard and pathological murmur. ECG shows: sinus tachycardia, ST-T no abnormalities. B-normal heart no exception. No prior history of coronary heart disease, preoperative 2% caffeine spray throat anesthesia, no anticholinergic drugs. When using the Olympus-GIF P3 gastroscope to smoothly insert into the corpus, the patient suddenly appeared with both eyes staring, his lips cyanotic, and his breathing stopped. Speed dial mirror, heart rate measured 80 times / min, law Qi, weak heart sounds, immediately