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患者,男性,50岁,工人,因生产中防护不当吸入CO中毒急来我院。心电图示心房纤颤,频发室性早搏构成短阵室性心动过速,不完全性右束支传导阻滞,心肌缺血。立即吸氧,利多卡因50mg静注,继以1～2mg/分静滴维持,12分钟后,血压70/50mmHg,心率缓慢,心电图窦性心动过缓,完全性房室脱节。即刻停用利多卡因,给以阿托品、阿拉明等对症治疗,血压120/60mmgHg,心率88次,心电图恢复正常。38小时后痊愈出院。
Patients, men, 50 years old, workers, due to improper protection of production of CO poisoning inhalation emergency hospital. ECG shows atrial fibrillation, frequent premature ventricular contractions constitute short bursts ventricular tachycardia, incomplete right bundle branch block, myocardial ischemia. Immediate oxygen, lidocaine 50mg intravenous infusion, followed by intravenous infusion of 1 ~ 2mg / min, 12 minutes later, blood pressure 70 / 50mmHg, slow heart rate, ECG bradycardia, complete atrioventricular disconnection. Lidocaine immediately disabled, to atropine, Alamin and other symptomatic treatment, blood pressure 120 / 60mmgHg, heart rate 88 times, ECG returned to normal. He was discharged after 38 hours.