论文部分内容阅读
伤员,男,19岁,1994年9月8日15点50分,在医院内施工时在水中被380伏电击倒,昏迷,5分钟后抬入急诊室。检查:昏迷,瞳孔散大,呼吸浅弱,2～3次/分,心跳停止,血压测不到。立即进行胸外心脏按压,人工机械通气,做好心电监护,开通静脉通路,肾上腺素按lmg,2mg,4mg,6mg,8mg等递增的方法静脉给药,间隔3～5分钟给药一次。同时,以5%SB纠正酸中毒、利多卡因抗心律失常。16点进行胸外心电起搏
Wounded, male, 19 years old, at 15:50 on September 8, 1994, was struck by 380 volts in the water during construction in the hospital and was coma. After 5 minutes, she was taken to the emergency room. Check: coma, mydriasis, weak breathing, 2 to 3 beats / min, cardiac arrest, blood pressure can not be measured. Immediate chest compression, artificial ventilation, ECG monitoring, open venous access, epinephrine by lmg, 2mg, 4mg, 6mg, 8mg and other incremental methods of intravenous administration, interval of 3 to 5 minutes once. At the same time, with 5% SB correct acidosis, anti-arrhythmic lidocaine. 16 points for cardiac pacing