论文部分内容阅读
患者女,23岁。因与家人发生口角,喝来苏儿100ml,于1989年9月1日入我院急诊。查体:BP70/50,P136,R42,深昏迷,呼吸带有来苏儿味,口角粘膜发白。心界无明显扩大,心率130次/分,律不齐,心音低钝,各瓣膜未闻杂音,双肺散在水泡音。在心电监护中发现:开始为窦性心律,频发多源室性早搏(图1),静注利多卡因100mg,并以4mg/分浓度维持静滴半小时后,室早消失,又出现心房纤颤(图2),静注西地兰0.2mg一小时后转为阵发性室上性心动过速(图3),再次静注西地兰0.2mg,半小时后再次出现频发多源室性早搏(图4),又静注利多卡因
Female patient, 23 years old. Occurred with his family because of the taste, drinking Suer 100ml, on September 1, 1989 into our hospital emergency room. Physical examination: BP70 / 50, P136, R42, deep coma, breathing with Sue flavor, mouth mucosa whitish. No significant heart expansion, heart rate 130 beats / min, irregular arrhythmia, low heart sound blunt, the valve is not heard noise, lungs scattered in the blisters sound. Found in ECG monitoring: the beginning of sinus rhythm, frequent multi-source ventricular premature beat (Figure 1), intravenous lidocaine 100mg, and to maintain the concentration of 4mg / min intravenous infusion of half an hour later, the room disappeared early, appeared again Atrial fibrillation (Figure 2), intravenous injection of cedilanzine 0.2mg an hour later to paroxysmal supraventricular tachycardia (Figure 3), once again cedilanid 0.2mg, again after half an hour of frequent Multi-source premature ventricular contractions (Figure 4), and intravenous injection of lidocaine