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例1:患者女性、45岁。因突然昏厥伴全身抽搐,心电图检查示:室扑、室颤、尖端扭转型室速,于1984年9月28日急诊入院。经电除颤及床边紧急临时起搏后恢复窦性心律。11月6日出现频发室早、呈三联律、有R—on—T现象。24小时内共静脉给慢心律1.4g(2mg/分)。当日上午患者出现头晕、恶心、呕吐、复视、四肢肌震颤、共济失调等症状。由于仍存在频发室早,故11月8日继续静脉给慢心律。24小时内用量达1.5g(2 mg/分)当日上午患者上述症状加重,并出现烦躁不安,难以控制自己,下午出现幻听、幻视、幻想、继而出现严重的谵妄、神志朦胧,立即撤除慢心律,给予10%葡萄糖500ml加维生素C 2g静滴、辅以安定等药物对症处理后,排尿数次、3小时后症状渐消失。次日完全恢全正常。
Example 1: Female patient, 45 years old. Due to sudden syncope with generalized convulsions, ECG showed: ventricular flutter, ventricular fibrillation, torsades de pointes ventricular tachycardia, in September 28, 1984 emergency admission. After defibrillation and bedside emergency temporary pacing to restore sinus rhythm. November 6 frequent room early appeared triple law, R-on-T phenomenon. Intravenous administration of slow heart rate 1.4g (2mg / min) within 24 hours. On the morning of the morning, the patient developed symptoms of dizziness, nausea, vomiting, diplopia, tremor of the limbs, and ataxia. As there is still frequent room early, so November 8 to continue to slow venous rhythm. In the first 24 hours, the dosage was 1.5g (2mg / min). On the morning of the same day, the above symptoms were exacerbated, irritability and difficulty in controlling oneself appeared. In the afternoon, there appeared auditory hallucinations, hallucinations and fantasies, followed by serious delirium, delirious and immediately removed Slow heartbeat, given 10% glucose 500ml plus vitamin C 2g intravenous infusion of diazepam and other drugs symptomatic treatment, urination several times, 3 hours after the symptoms gradually disappear. The next day completely normal.