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患者女性,38岁。因右侧巴氏腺囊肿于1990年7月13日收住入院。查体:T36.4℃、P90次/分、R22次/分、BP13/9 kPa(98/68mmHg)双肺(一),心率90次/分,律齐,未闻杂音。肝脾未及。血常规、出凝血时间、电解质均正常。准备在局麻下行囊肿切除术。于14日10:30AM 肌注度冷丁100mg,5分钟后患者即感头昏、眼花、心慌、气促、胸闷不适。测 BP11/7.5kPa(82/56mmHg),听诊心率130次/分,律不齐,心电图显示频发室性早搏二联律。即在心电监护下用利多卡因75mg静脉推注,于推注过程中室早突然消失,显窦性心动过速(图2)。又给利多卡因1000mg 加入10%葡萄糖液500ml 中,以1～2mg/分的速度静脉滴注。两天后复查心电图正常。患者既往无心肺疾患史,术前亦未服过其
Patient female, 38 years old. Because of the right side of the Papular Cyst was admitted to hospital on July 13, 1990. Physical examination: T36.4 ℃, P90 beats / min, R22 beats / min, BP13 / 9 kPa (98 / 68mmHg) lungs (a), heart rate 90 beats / min, law Qi, Liver and spleen not yet. Blood, clotting time, electrolytes are normal. Prepared under local anesthesia cyst excision. At 10:30 AM on the 14th MI intramuscularly 100mg, 5 minutes after the patient is feeling dizzy, vertigo, palpitation, shortness of breath, chest discomfort. Measured BP11 / 7.5kPa (82 / 56mmHg), auscultatory heart rate of 130 beats / min, irregular arrhythmia, ECG showed frequent premature ventricular contractions dual law. Namely ECG with lidocaine 75mg intravenous injection, early in the bolus chamber suddenly disappeared, significant sinus tachycardia (Figure 2). Give lidocaine 1000mg 10% glucose solution 500ml to 1 ~ 2mg / min speed intravenous infusion. Two days after the review ECG normal. Past history of patients without heart and lung disease, preoperative has not served it