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例1 女,22岁。于1991年4月22日凌晨0时10分以“头晕3天,意识丧失伴小便失禁2分钟”之主诉入院。患者近期无咳嗽、咽痛、发热及腹泻等病。查体:BP 9.3/8.0kPa,P 40次/分。神清,精神差,面色苍白。双肺(一),心界不大,HR 40次/分,律齐,无杂音。腹部及四肢(一)。即查ECG提示Ⅲ度房室传导阻滞(A-VB)。诊断为病毒性心肌炎,Ⅲ度A-VB并阿-斯综合征(A-SS)。立即给予吸氧,建立静脉通道,输含镁无钾极化液及氨茶碱、病毒唑均无效,当从输液管小囊内给予DXM 40 mg 1小时后,心电监护
Example 1 Female, 22 years old. At 0:10 on April 22, 1991 to “dizzy for 3 days, loss of consciousness with incontinence 2 minutes,” the main complaint was admitted. No recent cough, sore throat, fever and diarrhea and other diseases. Physical examination: BP 9.3 / 8.0kPa, P 40 beats / min. Clear, poor spirit, pale. Double lung (a), heart is not big, HR 40 beats / min, law Qi, no noise. Abdomen and limbs (a). That check the ECG prompts Ⅲ degree atrioventricular block (A-VB). Diagnosis of viral myocarditis, Ⅲ degree A-VB and Als-Syndrome (A-SS). Immediately give oxygen, the establishment of intravenous access, lose magnesium and potassium-free polarization solution and aminophylline, ribavirin are ineffective, when given from the infusion tube small capsule DXM 40 mg 1 hour after the ECG