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患者男,47岁。上腹部胀痛感4个月,无明显周期性和节律性疼痛,因全身疲乏、胸闷、腹胀痛加重到医院就诊。门诊体查:T36.8℃,神清,慢性病容,测血压90/60mmHg,心律整,心率60次/min,拟诊胃炎,申请胃镜检查。胃镜室常规术前准备,用2%盐酸利多卡因10ml口腔内喷洒麻醉,15min后,采用双人操作法进行检查。胃镜插入均顺利,镜端进入距门齿35-40cm处时,发现病人突然两眼上翻,呼之不应,立即拔出胃镜,迅速进行心肺复苏,胸外心脏按压,吸氧,注射三联针,输液等一系列的抢救措施,经十多分钟抢救后,能摸到病人颈动脉搏动,可测到血压60/40mmHg左右,病人面色由紫绀转为红润,双眼球及手脚慢慢开始活动,出现自主呼吸。
Male patient, 47 years old. Upper abdominal pain for 4 months, no significant periodic and rhythmic pain, due to systemic fatigue, chest tightness, abdominal pain increased to the hospital. Out-patient investigation: T36.8 ℃, Shen Qing, chronic disease, blood pressure 90 / 60mmHg, heart rhythm, heart rate 60 beats / min, proposed gastritis, gastroscopy. Gastroscopy room routine preoperative preparation, with 2% lidocaine hydrochloride 10ml oral anesthesia, 15min after the double operation method to check. Gastroscope were inserted smoothly, the mirror end into the incisors from 35-40cm, and found the patient suddenly turned upside down, call should not immediately pull out the gastroscope, rapid cardiopulmonary resuscitation, chest compression, oxygen, injection triple needle , Infusion and a series of rescue measures, after more than 10 minutes of rescue, can touch the patient’s carotid pulse, measurable blood pressure 60 / 40mmHg or so, the patient turned from cyanosis rosy, eyes and hands and feet slowly start activities, Appear spontaneous breathing.