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心脏骤停经抢救复跳后,仍有再次停跳的危险。为此,我们将大剂量肾上腺素持续静滴逐渐减量治疗4例心脏复跳后病人,效果显著。现摘其2例报告如下。 例1:男,40岁。心前区间歇疼痛3天,持续疼痛2小时含硝酸甘油无效入院。根据查体及心电图所示诊断为急性广泛前壁心肌梗塞。给心电监护,吸氧,镇痛抗凝溶栓等治疗,入院半小时病人心跳骤停,随之呼吸停止。即给胸外心脏按压、机械通气等,心内注入肾上腺素5mg、阿托品1mg。
After the resuscitation cardiac arrest cardiac arrest, there is still the risk of stopping again. To this end, we will continue high-dose intravenous infusion of tapering gradually reduced treatment of 4 patients after heart beating, the effect is significant. Pick the two cases are as follows. Example 1: Male, 40 years old. Pre-heart area intermittent pain for 3 days, sustained pain for 2 hours with nitroglycerin invalid admission. According to physical examination and ECG showed the diagnosis of acute extensive anterior myocardial infarction. To ECG monitoring, oxygen, analgesic and anticoagulant thrombolysis and other treatment, half an hour after admission, cardiac arrest, then stop breathing. That is, to the chest outside the heart pressure, mechanical ventilation, intracardiac injection of epinephrine 5mg, atropine 1mg.