论文部分内容阅读
患者,男,47岁。患者于12h前饮酒约300ml,酒后即恶心,呕吐, 昏睡,2小时前出现晕倒伴短阵意识丧失。平时身体健康。体温正常,呼吸急促,血压测不到,HR28次,律不齐。考虑为中毒性心肌炎并心源性晕厥。心电监护示:Ⅲ°房室传导阻滞,缓慢心室逸搏心律。即给予5％GS500ml+异丙肾上腺素1mg静滴,16滴/min。心电监护示:Ⅲ°房室传导阻滞,室性自主性心动过速。同时给予能量极化液和地塞米松静滴、吸氧,血压达16/10.5kPa。晕厥未再发作。住院期
Patient, male, 47 years old. The patient drank about 300ml before 12h. The drunk was nausea, vomiting, lethargy, and fainted with a short array of unconsciousness 2 hours earlier. Usually healthy. Normal body temperature, shortness of breath, blood pressure can not be measured, HR28 times, irregularities. Considered as toxic myocarditis and cardiogenic syncope. ECG monitoring showed: Ⅲ ° atrioventricular block, slow ventricular heart rhythm. That is given 5% GS500ml + isoproterenol 1mg intravenous infusion, 16 drops / min. ECG monitoring showed: Ⅲ ° atrioventricular block, ventricular tachycardia autonomy. At the same time give the energy polarization solution and dexamethasone intravenous infusion, oxygen, blood pressure up to 16 / 10.5kPa. Syncope did not recur. Hospitalization