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1 病例报告男,53岁。因间断上腹部饥饿性疼痛5年,呕血柏油便5 d 入院。入院前呕血1000ml,黑便300ml。经输血、止血剂、补液等治疗后,BP 13.3/8 kPa。重度贫血貌。肺无异常发现。HR 115次/min,Hb 45g/L,RBC2.0×10~(12)/L。ECG 示窦速,胸片正常。予行急诊内镜检查。术前肌注654-210mg。于进镜至会厌部将入食管时,患者突然出现憋气,随即呼吸停止,颜面紫绀明显,意识丧失,HR 60次/min。心音弱。立即退出镜,行人工呼吸,并肌注阿托品1 mg,约30 s 后渐恢复自主呼
1 case report male, 53 years old. Due to intermittent upper abdominal hunger pain for 5 years, vomiting blood will be 5 d admission. Pre-hospital hematemesis 1000ml, melena 300ml. After transfusion, hemostatic agents, fluids and other treatment, BP 13.3 / 8 kPa. Severe anemia appearance. No abnormal lung findings. HR 115 times / min, Hb 45g / L, RBC 2.0 × 10-12 / L. ECG showed sinus speed, chest X-ray normal. Emergency endoscopy. Preoperative intramuscular injection of 654-210mg. Into the mirror into the epiglottis will enter the esophagus, the patient suddenly suffocated, then stop breathing, facial cyanosis significantly, loss of consciousness, HR 60 beats / min. Weak heart sound. Immediate exit the mirror, the line of artificial respiration, and intramuscular injection of atropine 1 mg, gradually recovered after about 30 s