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我们曾于1990年10月4日作心前区单次叩击使1例心室颤动患者获得复律。现报告如下: 患者男,39岁。1990年10月4日上午在讲课时,突感心前区压榨性疼痛,持续性,不能缓解。同时伴大汗淋漓、面色苍白、头昏。当即被送至急诊科。当时患者神志模糊,面色苍白,唇发绀,四肢厥冷。血压8/0kpa。接心电图示波器示室性心动过速。在输液过程中,出现心室颤动。即作单次心前区叩击,心脏复跳,示窦性心律,窦性心动过缓,心率48/分。静注阿托品1mg,示波器示室性心动过速,心率162/分.静注利多卡因50mg,共2次,经以上处理后,
We performed a single tapping in precordial area on October 4, 1990, to obtain cardioversion in 1 patient with ventricular fibrillation. The report is as follows: Male patient, 39 years old. On the morning of October 4, 1990, during the lectures, it was felt that the painful and persistent sexual pain in the former district could not be alleviated. At the same time with sweating, pale, dizzy. Immediately sent to the emergency department. Patients were vague, pale, cyanotic lips, extremities Jueleng. Blood pressure 8 / 0kpa. Then ECG oscilloscope showed ventricular tachycardia. Ventricular fibrillation occurs during infusion. That is, for a single perioperative area tapping, heart resurgence, showing sinus rhythm, sinus bradycardia, heart rate 48 / min. Intravenous atropine 1mg, oscilloscope showed ventricular tachycardia, heart rate 162 / min intravenous lidocaine 50mg, a total of 2 times, after the above treatment,