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死者,女性,16岁,西藏人。因3次突然发生气紧、心慌、胸闷入院。临床诊断:“阵发性室上性心动过速”。1987年5月20日首次发作,静推西地兰0.2mg,5分钟转为窦性心律。心电图诊断:“预激综合征”“A”型。1987年12月13日又发作,用西地兰、异博定等药物无效。用美速克(新命)10mg加入50%GS40毫升静脉缓推,4分钟时转为窦性,仅维持15分钟又复发。改用普鲁卡因酰胺400mg加入50%GS40毫升静推,续用500mg缓滴维持。2小时转为窦性后稳定。1988年元月10日再次复发,对上述多类抗心律失常药物无效。用电压200w/秒,电击后,呼吸停止2分钟,心电图仍为“室上速”。病情进行性加重,抢救无效死亡。
Dead, female, 16 years old, Tibetans. Due to 3 sudden gas tight, palpitation, chest tightness admitted. Clinical diagnosis: “paroxysmal supraventricular tachycardia.” May 20, 1987 the first episode, static push cedilanfil 0.2mg, 5 minutes into sinus rhythm. ECG diagnosis: “WPW syndrome” “A” type. December 13, 1987 another attack, with cedilanid, different Bo Ding and other drugs ineffective. USMS (new) 10mg added 50% GS40 ml slow intravenous, 4 minutes into sinus, only to maintain 15 minutes and recurrence. Use procainamide 400mg 50% GS40 ml static push, continued with 500mg slow drop to maintain. 2 hours to stabilize after sinus. January 10, 1988 again relapse, the above-mentioned multi-class anti-arrhythmic drugs ineffective. Voltage 200w / s, after the shock, breathing stopped for 2 minutes, the ECG is still “room speed.” Progressive aggravating condition, rescue dead.