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患者,男性.29岁,工人。因生气后突感心悸10小时,于1986年12月28日来诊。患者于来院前4小时曾就诊于某医院,诊为室上速。经压眼球及刺激咽部无效,继而静点间羟胺亦无效,血压升至21/14.5kPa,致患者烦躁、呕吐、出汗而停用。后又静注西地兰仍无效,而收入我院,体检,心率150次,律齐。血压16/10.5kPa。心电图QRS波≤0.12″,且呈RBBB图形,V_1呈单向R波,结合外院治疗经过,考虑可能为室速。即予利多卡因常规剂量冲击,前两次虽皆复律,但均在5分钟内复发,第3次冲击无效,改用普鲁卡因酰胺静点及心律平口服后始复律。但ECG仍示下壁、前侧壁缺血性
Patient, male, 29 years old, worker. Suddenly feel heart palpitations 10 hours after being angry, in December 28, 1986 visit. Patients came to hospital 4 hours before visiting a hospital, diagnosed as supraventricular tachycardia. After the pressure of the eye and stimulate the pharynx is invalid, and then hydroxylamine between static points is also invalid, blood pressure rose to 21 / 14.5kPa, causing irritability, vomiting, sweating and disabled. After intravenous cedilanid is still invalid, and income in our hospital, physical examination, heart rate 150 times, law Qi. Blood pressure 16 / 10.5kPa. ECG QRS wave ≤ 0.12 ", and was RBBB graphics, V_1 was R wave unilateral, combined with the treatment of the outer hospital, may be considered ventricular tachycardia that lidocaine routine dose shock, although the first two are all cardioversion, Recurrence within 5 minutes, the third impact is invalid, switch to procaine intravenous and ventricular arrhythmia after initial cardioversion .But the ECG still shows inferior wall, anterior ischemic