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女患,49岁,因剑突下疼痛,恶心、呕吐20天,于1985年3月9日晚7时以胃炎合并严重低血钾症入院.既往有剑突下疼痛病史3年,曾作胃镜检查,诊断为浅表性胃炎.体检:BP80/60mmHg.神志清楚,精神极差,肺(-),心音低钝,心率148次,律齐,无杂音,腹部胀气,剑突下有压痛,肠鸣音减弱,四肢肌力0级,腱反射消失.实验室检查:血钾1. 2mmol/L.心电图:T 波低平,u 波高大,P-u 融合.入院后半小时,患者突然两眼上翻、四肢抽搐,心音及大动脉搏动消失,即行心外按摩,静注异丙肾上腺索1mg,心跳恢复,复苏后心
Female, 49 years old, with pain, nausea and vomiting under the xiphoid process for 20 days and admitted to hospital with gastritis and severe hypokalemia at 7 o’clock on the evening of March 9, 1985. Past history of xiphoid pain history of 3 years, Gastroscopy, diagnosed as superficial gastritis. Examination: BP80 / 60mmHg. Consciousness, poor spirits, lung (-), low heart sound blunt, heart rate 148 times, law Qi, no noise, abdominal flatulence, tenderness under the xiphoid , Bowel sounds weakened, limb muscle strength 0, tendon reflex disappeared Laboratory tests: potassium 1. 2mmol / L. ECG: T wave low level, u wave height, Pu fusion half an hour after admission, the patient suddenly two Eyes turned up, limbs convulsions, heart sounds and aortic pulse disappeared, that is outside the line of massage, intravenous isoproterenol adrenal 1mg, heart rate recovery, heart after resuscitation