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陈某,男,32岁。1985年8月28日上午6时40分,头部触及高压电线,被1800伏电击伤,从3米高处摔下,现场发现心咣呼吸停止、即刻人工呼吸,直到救护车接来我院抢救为止,历时35分钟。检查:两侧瞳孔极度扩大,对光反射消失。呼吸心跳停止。全身苍白。头部电灼深达帽状腱膜。两上肢度电灼伤。立即供给高浓度高流量氧,两人配合心脏按压与找开气道,口对口人工呼吸,按5:1比例连续进行。同时建立上肢静脉输液通道,首先静脉注射肾上腺素1毫克,以及碳酸氢钠、阿托品、
Chen, male, 32 years old. On August 28, 1985, at 6:40 am, his head touched a high-voltage electric wire and was injured by a 1800 volt electric shock. He fell from a height of 3 meters and found that his heartbeat stopped breathing and was resuscitated immediately until the ambulance came to our hospital Rescue, which lasted 35 minutes. Check: the pupils on both sides of the extreme expansion of the light reflection disappears. Breathing stopped. Whole body pale. Deep head aponeurosis. Two upper degree electric burns. Immediate supply of high concentrations of high-flow oxygen, the two with heart pressure and find open airway, oral counterpart artificial respiration, continuous 5: 1 ratio. At the same time to establish upper extremity venous transfusion channel, first intravenous injection of epinephrine 1 mg, and sodium bicarbonate, atropine,