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患者 男,20岁,因工作不慎触电,昏迷20分钟,于1993年4月24日上午9时20分送我院急诊抢救。入院体查:深昏迷状态,脸色苍白,口唇甲床发绀,眼球固定,瞳孔等圆,直径约3mm,对光反应消失,呼吸心跳停止,听不到心音,颈动脉摸不到搏动,四肢肌张力稍增强,肢冷,生理反射消失,血压零。实验室检查:Hb 125g/L,RBC 5.0×10~(12)/L,WBC 15.0×10~9/L,中性杆状细胞0.06,N 0.59,L0.34,E 0.01;BUN 5.2mmol/L,CO_2CP18mmol/L,血钾3.8mmol/L,血钠130mmol/L,血氯98mmol/L,血钙2.2mmol/L。心电图检查:室颤。临床诊断:电击伤并心跳骤停。 抢救经过:立即采取心肺脑复苏治疗措施,用多巴胺200mg+多巴酚丁胺250mg+10％葡萄糖500ml静脉点滴以强心升压;地塞米松20mg静注防治脑水肿,并静推利多卡因100mg,10分钟后心电图显示细
Male patient, 20 years old, due to accidentally electrocuted work, coma for 20 minutes, at 9:20 on April 24, 1993 sent to our hospital for emergency treatment. Physical examination: deep unconsciousness, pale, lip bed cyanosis, fixed eye, pupil and other round, about 3mm in diameter, disappeared reaction to light, respiratory arrest, can not hear the heart sound, carotid artery stroke, limb muscle Tension slightly increased, cold limbs, physiological reflex disappeared, zero blood pressure. Laboratory tests showed that Hb 125g / L, RBC 5.0 × 10-12 / L, WBC 15.0 × 10-9 / L, neutral rod cells 0.06, N 0.59, L0.34, L, CO_2CP18mmol / L, serum potassium 3.8mmol / L, serum sodium 130mmol / L, blood chlorine 98mmol / L, blood calcium 2.2mmol / L. ECG examination: ventricular fibrillation. Clinical diagnosis: electric shock and sudden cardiac arrest. Rescue after: immediately take CPR treatment measures, with dopamine 200mg + dobutamine 250mg + 10% glucose 500ml intravenous infusion to enhance cardiac pressure; dexamethasone 20mg intravenous prevention and treatment of cerebral edema and intravenous lidocaine 100mg , 10 minutes after the ECG shows fine