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患者,男,49岁,体重60 kg。于2007年2月4日18:35时,因胸闷、气短1h 就诊。查血压150/70mmHg,心电图正常。给予吸氧、丹参静滴。19:30时,心跳、呼吸骤停。立即给予胸外按压、气管插管辅助呼吸,先后静推肾上腺素15 mg,单次直流电电除颤15次,能量为300-360 J。因抢救无效,20:00时,电除颤方式由单次改为连续重叠式除颤,连除2次,能量为360 J。心跳恢复。复查心电图示:广泛前壁急性心肌梗死,查血清肌酸磷酸激酶:294 U/L,乳酸脱氢酶:303 U/L。急行 PTCA 治疗。
Patient, male, 49 years old, weighing 60 kg. At 18:35 on February 4, 2007, due to chest tightness, shortness of breath 1h treatment. Check blood pressure 150 / 70mmHg, normal ECG. Give oxygen, Salvia intravenous infusion. At 19:30, the heartbeat, breathing stopped. Immediately given chest compressions, endotracheal intubation assisted breathing, intravenous epinephrine has 15mg, a single defibrillation 15 times, the energy of 300-360J. Due to ineffective rescue, at 20:00, the mode of electrical defibrillation changed from single to continuous defibrillation, with the exception of 2 times, with an energy of 360 J. Heartbeat recovery. Review ECG: extensive anterior myocardial infarction, check serum creatine phosphokinase: 294 U / L, lactate dehydrogenase: 303 U / L. Urgent PTCA treatment.