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病例:男33岁,因突发性胸闷、气短约7小时入院。既住有预激综合征(WPW)病史10多年,曾并发室上性心动过速3次,心房纤颤(房颤)2次。心电图示A型WPW并发快速型房颤。入院后予口服异搏定片40mg一次,开始静滴脉通注射液500ml+维生素C注射液3g,将异搏定注射液5mg加入莫非氏壶静滴,10分钟后病人胸闷、气短加重,随后意识丧失、抽搐、心电监护示心室纤颤(室颤),立即给予吸氧、心前区拳击、非同步电击除颤、心脏三联针心内注射、胸外心脏按摩,约10分钟心跳恢复,心电监护示窦性心律,A型WPW,其后,患者持续深昏迷,于住院第7天死亡。讨论:异搏定是钙通道阻滞剂,对室上性心动过速疗效良好,也可用于非预激的房颤和心房扑动(房扑),
Case: Male, 33 years old, due to sudden chest tightness, shortness of breath about 7 hours admission. Both living with Wolff’s syndrome (WPW) history of more than 10 years, had complicated by supraventricular tachycardia 3 times, atrial fibrillation (atrial fibrillation) 2 times. ECG A type WPW complicated by rapid atrial fibrillation. After admission to verapamil tablets 40mg once, began intravenous infusion of intravenous injection of 500ml + vitamin C injection 3g, intravenous injection of verapamil 5ml added Mo non-kettle pot intravenous infusion, 10 minutes after the patient chest tightness, shortness of breath increased, and then awareness Loss of convulsions, ECG monitoring showed ventricular fibrillation (ventricular fibrillation), immediately given oxygen, precordial boxing, unsynchronized shock defibrillation, cardiac triple needle intracardiac injection, chest cardiac massage, about 10 minutes of heartbeat recovery, ECG showed sinus rhythm, type A WPW, thereafter, the patient continued deep coma, died on the 7th day of hospitalization. Discussion: Verapamil is a calcium channel blocker, the efficacy of supraventricular tachycardia good, can also be used for non-pre-excitation atrial fibrillation and atrial flutter (atrial flutter),