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患者,女,39岁。因风湿性心脏病二尖瓣狭窄、房颤、心功能Ⅲ级入院准备手术。经强心利尿补钾等治疗,于1985年3月29日在全麻下行左径闭式二尖瓣分离术。瓣口直径0.8cm,瓣膜僵硬,轻度返流。扩至3.4cm,分离满意。返流减经。手术操作顺利,关胸前出现室早,继之室速、室扑,药物治疗无效,9时45分发生室颤,血压消失。立即进行复苏抢救:持续按压心脏、配合药物、反复电击除颤。同时头枕冰帽、腹股沟置冰袋等。持续抢救至
Patient, female, 39 years old. Mitral stenosis due to rheumatic heart disease, atrial fibrillation, cardiac function grade III admission to hospital for surgery. After cardiac tonic urinary potassium and other treatment, in March 29, 1985 under general anesthesia left tract closed mitral valve surgery. Valve orifice diameter of 0.8cm, valvular stiffness, mild reflux. Expansion to 3.4cm, separation satisfaction. Flow reduction. Surgery operation smoothly, chest early appears room, followed by ventricular tachycardia, ventricular flutter, drug treatment is invalid, 9:45 ventricular fibrillation occurs, blood pressure disappears. Resuscitation immediately rescue: keep pressing the heart, with drugs, repeated shock defibrillation. At the same time head ice cap, ice bag installed in the groin. Continued to rescue