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我们在30例应用美多心安静脉注射治疗快速型心律失常中,出现1例因适应症掌握不当而导致心搏骤停,现报告如下: 患者冯×,女,78岁,住院号318531。因反复胸闷心悸头晕2年,加重1周到本院心内科专科就诊。病者平时心电图有“室上性心动过速”,“多源性室性早搏”。医生给予口服康加尔多(Corgarde)20mg每日1次,第4天后(1991年6月3日)因心悸、胸闷加重,大汗淋漓伴恶心呕吐3次,到本院急诊。查林:面色苍白,四肢厥冷,能平卧,颈静脉无怒张,双肺呼吸音清,心率210次/分,律整。血压测不到,心电示波及12导联心电图示“室上性心动过速”。当班医生给予吸氧,静脉注射美多心安5mg,10分钟后病人出现频发结性逸搏心律(44次/分),继而出现室性自主节律(宽大畸型QRS波32次/分),即给予静注阿托品0.5mg,数分钟后心电示波出现心室停顿。
We applied 30 cases of intravenous injection of American Heart in the treatment of tachyarrhythmias, there was a case of arrest due to improper indications and cardiac arrest, are as follows: The patient Feng ×, female, 78 years old, hospitalization number 318531. Due to repeated chest tightness and palpitation dizziness 2 years, an increase of 1 week to our hospital cardiology specialist treatment. Patients usually have ECG “supraventricular tachycardia”, “multi-source ventricular premature beats.” The doctor gave oral Corgarde 20mg once daily, after 4 days (June 3, 1991) due to heart palpitations, chest tightness, sweating with nausea and vomiting three times to our hospital emergency room. Charlene: pale, limbs Jueleng, supine, jugular vein without tension, lung breath sounds clear, heart rate 210 beats / min, the law. Blood pressure can not be measured, ECG and 12-lead ECG “supraventricular tachycardia.” On-duty doctor to give oxygen, intravenous injection of Metoprolol 5mg, 10 minutes after the patient showed frequent nocturnal escaping rhythm (44 beats / min), followed by ventricular autonomic rhythm (large deformity QRS wave 32 beats / min) Give intravenous atropine 0.5mg, a few minutes after ECG ventricular pause appears.