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患者,男,65岁。因反复发作胸闷月余,静息状态心电图未见缺血表现,无u 波,于1987年12月24日15时在门诊行二级梯运动试验,登梯次数按Moster氏二级梯运动测验标准。运动试验后2分钟,心电图示:除aVR 外,ST 段均呈水平型压低0.05～0.1mv.4分钟时,ST 段水平压低0.2～0.3mv,8分钟时,ST段水平压低0.6～0.8mv,病人未诉不适。运动试验后二十分钟,患者面色苍白,心音不能闻及,心电图示心室颤动,立即胸前拳击,体外人工心脏按摩,人工呼吸,静注副肾素等均未复苏,因除颤设备在病区,故室颤后二十分钟才行200瓦秒非同步直流电除颤。无效后又重复二次除颤均未成功,抢救1小时无效死亡。
Patient, male, 65 years old. Due to recurrent chest tightness and more than a month, resting ECG showed no ischemic situation, no u wave, at 15 o’clock on the December 24, 1987 in the outpatient line two ladder exercise test, the number of boarding by Moster’s two ladder test standard. 2 minutes after the exercise test, the ECG showed: except for aVR, ST segment showed a horizontal type depression 0.05 ~ 0.1mv.4 minutes, ST segment depression level 0.2 ~ 0.3mv, 8 minutes, ST segment level down 0.6 ~ 0.8mv , The patient did not complain about discomfort. Twenty minutes after the exercise test, patients were pale, heart sounds can not smell, ECG showed ventricular fibrillation, chest chest boxing immediately, in vitro artificial heart massage, artificial respiration, intravenous renin, etc. were not recovered because defibrillation equipment in the disease District, so 20 minutes after ventricular fibrillation only 200W non-synchronous DC defibrillation. Invalid and repeat the second defibrillation were unsuccessful, rescue 1 hour invalid death.