论文部分内容阅读
例1:谢××,男,28岁,工人。突发心悸、头昏9小时入院。患者于发病前一天在洗澡时突发心悸、头昏,在当地医院诊断为“阵发性心动过速”,经静注西地兰0.4毫克无效转来我院。体检:血压84/76毫米汞柱,脉搏190次/分。神清合作,肺(一)。心界不大,心率190次/分,律整,各瓣膜区未闻及杂音。心电图检查为“室上性阵发性心动过速。”用刺激迷走神经方法无效,血压降到60/0毫米汞柱。以阿拉明、去甲肾上腺素静滴,当血压上升至130/90毫米汞柱时,心率不变。入院第二天上午9时,以西地兰0.8毫克加入50％葡萄糖40毫升静注,10分钟后,心率由190次/分增至240次/分。患者面色苍白,烦躁不安,四肢厥冷,血压降至80/50毫米汞柱。又以去甲肾上腺素静滴维持。下午7时,心率渐减慢至200次/分,静注心
Example 1: Xie × ×, male, 28 years old, worker. Sudden palpitations, dizziness 9 hours admission. Patients in the shower the day before the onset of sudden heart palpitations, dizziness, at the local hospital diagnosed as “paroxysmal tachycardia”, intravenous injection of cedilanzilazan 0.4 mg invalid transfer to our hospital. Physical examination: blood pressure 84/76 mm Hg, pulse 190 beats / min. Clear cooperation, lung (a). Heart, heart rate 190 beats / min, law, the valve area did not smell and noise. The electrocardiogram was “supraventricular paroxysmal tachycardia.” The stimulation of the vagus nerve was ineffective and the blood pressure dropped to 60/0 mmHg. With Alamin, norepinephrine infusion, when the blood pressure rose to 130/90 mm Hg, the heart rate unchanged. On the second day of admission, 9:00 am, cedilanid 0.8 mg added 50% glucose 40 ml intravenous injection, 10 minutes later, the heart rate increased from 190 beats / min to 240 beats / min. Patient pale, irritable, extremities cold, blood pressure dropped to 80/50 mm Hg. And norepinephrine intravenous maintenance. 7 pm, the heart rate gradually slowed down to 200 beats / min, intravenous injection heart