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我院采用体外心脏按摩、口对口人工呼吸及其他综合治疗,成功地抢救1例心跳骤停的病人,现将我们的抢救体会报告如下: 一、病历摘要患者王某,男,24岁。推车上坡行走中突然晕倒在地,不省人事。当即被同行未婚妻背起,6分钟后送本院。检查:面色苍白,瞳孔散大,对光反射消失,无意识;口唇紫绀,四肢发凉,呈痉挛抽搐状态。出冷汗,无脉搏,血压测不到,无心音。诊断:心跳呼吸骤停。立即抢救:心前区叩击数下无效,行体外心脏按摩,口对口人工呼吸。心腔内注射三联针(去甲肾上腺素、肾上腺素、异丙肾上腺素各1mg),利多卡因100mg,氯化钙50mg,同时予吸氧、补液、纠正酸中毒、呼吸兴奋剂静滴等综合抢救。10分钟后,呼吸、心跳先后恢复,心电图由心室颤动、室速至逐渐规整。患者仍处昏迷状态,
Our hospital using in vitro cardiac massage, mouth-to-mouth artificial respiration and other comprehensive treatment, successfully salvage a patient with cardiac arrest, now we report the rescue experience is as follows: First, the patient summary Wang, male, 24 years old. Cart stroll uphill suddenly fainted, unconscious. Immediately be peer fiancee back, 6 minutes after the hospital. Check: pale, mydriasis, light reflex disappeared, unconscious; lips cyanosis, limbs cold, convulsions convulsions state. Out of cold sweat, no pulse, blood pressure can not be measured, no heart sound. Diagnosis: sudden cardiac arrest. Immediate rescue: precordial knocking number invalid, external cardiac massage, mouth to mouth artificial respiration. Intracardiac injection of triple needle (norepinephrine, epinephrine, isoproterenol each 1mg), lidocaine 100mg, calcium chloride 50mg, at the same time to oxygen, rehydration, correct acidosis, respiratory stimulants intravenous infusion Comprehensive rescue. After 10 minutes, breathing, heart rate has been restored, electrocardiogram by ventricular fibrillation, VT to gradually regular. Patients are still in a coma,