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1 病例报告 患者男,21岁。在工作时不慎触电,呼吸、心跳停止15分钟于1994年7月15日上午9时来院。立即予气管插管,人工正压呼吸,胸外心脏按压,心电图监护;建立2条液路,左上肢为利多卡因以1～3mg/min静点,左下肢为呼吸兴奋剂。当时考虑患者因缺氧时间太长,有脑水肿及脑细胞、心肌细胞酸中毒等情况,予20％甘露醇250ml静注2次,5％碳酸氢钠100ml静注2次,利多卡因75mg、肾上腺素1～4mg、阿托品1mg、可拉明0.375g、洛贝林3mg每3～5分钟推注1次,地塞米松20mg加入滴壶2次,速尿20g加入滴壶2次。为及时观察患者肾功能,抢救中给予保留
1 case report Patient male, 21 years old. Inadvertent electric shock at work, breathing, cardiac arrest 15 minutes at 9:00 on July 15, 1994 to hospital. Immediate tracheal intubation, artificial positive pressure breathing, chest cardiac pressure, ECG monitoring; the establishment of two liquid path, left upper limb lidocaine to 1 ~ 3mg / min static point, the left lower limbs as respiratory stimulants. At that time consider the patient due to hypoxia for too long, with brain edema and brain cells, cardiomyocytes acidosis, intravenous injection of 20% mannitol 250ml twice, 5% sodium bicarbonate 100ml intravenous injection twice, lidocaine 75mg , Epinephrine 1 ~ 4mg, atropine 1mg, cocaine 0.375g, Lobelin 3mg every 3 to 5 minutes bolus 1, dexamethasone 20mg added to drip pot 2 times, furosemide 20g added drip pot 2 times. In order to observe the patient’s renal function in time, rescue given to retain