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从1980年10月至84年11月,我们抢救急性心肌炎并发心源性昏厥11例,均经心电图证实为进行性完全性或几乎完全性房室传导阻滞。其中5例昏厥发作较轻,能用激素和阿托品、异丙肾上腺素所控制;5例昏厥发作频繁,不能用药物控制,采用了经静脉临时心脏起搏配合药物治疗,获得成功;1例系院外抢救,因病情发展迅速、药物治疗无效,心源性昏厥、休克时间过长,安置起搏导管时已经发生心脏停搏,心肌对起搏刺激无反应而死亡。现将抢救成功的5例报告如下。
From October 1980 to November 84, we rescue 11 patients with acute myocarditis complicated by cardiogenic fainting, all confirmed by ECG to be progressive complete or almost complete atrioventricular block. Among them, 5 cases had mild episodes of fainting and could be controlled by hormones and atropine and isoproterenol. Five cases had frequent episodes of syncope and could not be controlled by drugs. Adopting intravenous temporary cardiac pacing and drug treatment was successful. Hospital rescue, due to the rapid development of the disease, drug treatment is invalid, cardiogenic fainting, shock time is too long, placement of pacing catheter cardiac arrest has occurred, no response to cardiac pacing and cardiac death. Now five cases of successful rescue reported as follows.