论文部分内容阅读
患者男,31岁。1997年10月29日上午突发剧烈胸痛2小时就诊。ECG示STV_1～V_4弓背向上抬高0.4～0.8mv,T波高尖,心房纤颤。在门诊立即予尿激酶150万~u静点,半小时内点完收入院。2小时内胸痛明显缓解,ST段下降>50％,同时出现频发室早,心律平静推无效,改用利多卡因静推加静点,10小时内静推利多卡因总量350mg,静点总量2300mg,其室早不仅未消除,且出现频发多源成对室早,加速性室性自主心律、短阵室速。于用药后10.5小时(8∶55Pu)发生心室纤颤、意识丧失,1分
Patient male, 31 years old. October 29, 1997 morning severe chest pain 2 hours treatment. ECG showed STV_1 ~ V_4 bow raised upward 0.4 ~ 0.8mv, T wave tip, atrial fibrillation. In the clinic immediately to urokinase 1.5 million ~ u static point, within half an hour finished admission admission. Chest pain was relieved within 2 hours, ST-segment decreased> 50%, while frequent premature ventricular arrhythmia push invalid, switch to lidocaine static plus static point, 10-hour intravenous lidocaine total 350mg, static The total point of 2300mg, the room has not only not eliminated, and frequent multi-source pairs of ventricular early, accelerated ventricular voluntary rhythm, bradykinesia. Ventricular fibrillation occurred 10.5 hours after treatment (8:55Pu), loss of consciousness, 1 point