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我院近期复苏成功一例触电后致心搏骤停20分钟的病人,现报告如下: 谢某,男,22岁,未婚,工人,平素体健。不慎两手触及380伏的交流电,通电时间约1分钟,断电后由不懂复苏知识的工友就地做了摇晃上肢及心前区轻按约5分钟,20分钟后送达我院急诊科,发现神志丧失,两瞳孔散大,大动脉搏动消失,呼吸停止,口唇及四肢皮肤发绀,两手见有电灼伤口。即行胸外心脏按压术,鼻导管高流量给氧,心电监护显示心室颤动,静注利多卡因100mg两次无效,行直流电除颤(200WS)后出现心脏电活动消失(表现为直线),持续心脏按压,瞳孔缩小,行气管插管给氧,头部为主的低温疗法,静注5％碳酸氢钠100ml,地塞米松10mg,肾上腺素1mg,5分
A recent case of hospital recovery in our hospital after electrocardiographic cardiac arrest caused by 20 minutes of patients, are as follows: Xiemou, male, 22 years old, unmarried, workers, usually physical health. Inadvertently reach 380 volts of AC power, power-on time of about 1 minute, after power failure by workers who do not know the resuscitation done on the spot Shake the upper extremity and precinct lightly about 5 minutes, 20 minutes after delivery to our hospital emergency department , Found that loss of consciousness, two pupils scattered, disappeared aortic pulse, respiratory arrest, lips and limbs, cyanosis, both hands have electric burns mouth. Thoracic cardioplegia was performed. The nasal cannula was infused with high flow of oxygen and the ECG was monitored to show ventricular fibrillation. The intravenous injection of lidocaine 100mg was twice inactive and disappeared after the DC defibrillation (200WS) Continuous cardiac pressure, miosis, endotracheal intubation oxygen, head-based hypothermia, intravenous infusion of 5% sodium bicarbonate 100ml, dexamethasone 10mg, epinephrine 1mg, 5 points