论文部分内容阅读
患者,男,28岁,炊事员。因“持续胸骨后剧痛伴出汗2.5小时”于1986年3月16日上午10:10来我院急诊。在心电图检查床上突然神志不清,两眼上翻,呼之不应,呼吸急促,四肢小抽动,心音、脉搏消失,血压测不出。心电图呈现粗细不均的室颤波。当即心前区叩击二次,继而胸外心脏按压,每分钟80次左右。面罩吸氧,并立即建立二路静脉通道,一路静滴多巴胺+阿拉明,随时静推心三联、肾上腺素、地塞米松;另一
Patient, male, 28 years old, cook. Because of “persistent chest pain and sweating 2.5 hours” on March 16, 1986 at 10:10 am to our hospital emergency room. Suddenly unconscious in the ECG bed, his eyes turned up, call should not, shortness of breath, twitching limbs, heart sounds, pulse disappeared, blood pressure can not be measured. ECG showed uneven thickness of ventricular fibrillation. Right precordial district tapping twice, followed by chest compression, about 80 times per minute. Mask oxygen, and immediately established two venous access, all the way intravenous infusion of dopamine + Alamin, at any time static triple syphilis, epinephrine, dexamethasone; the other