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尽管硫喷妥钠在脑复苏中的作用尚有不少争论,但临床证实它在心跳骤停后并脑细胞损伤的抢救中,仍不失为一良好的药物。例1:男,21岁,学生,1982年8月31日下午6:30乌头硷中毒8时入院,意识略有不清,心率240次/分,脉博60次/分,血压120/80毫米汞柱,呼吸24次/分,双侧瞳孔稍大,恶心频发。10:40全身抽搐,心脏当即停跳,经胸外心脏挤压,气管内插管,加压给氧等各项紧急处理后,10:45心跳恢复,心电图示:频发室性早博并短阵性室性心动过速,间断抽搐,静注安定10毫克,无法解除,乃加用2.5％硫喷妥钠2毫升静注,抽搐缓解。10:50呼吸恢复,以后配合头部体表物理降温,利尿,并断续使用硫喷妥钠镇惊,患者终于1982年4月1日晨
Although there is still a lot of controversy over the role of thiopental in cerebral resuscitation, it is clinically proven to be a good drug in the rescue of cardiac arrest and brain cell damage after cardiac arrest. Example 1: Male, 21 years old, student, August 6, 1982 at 6:30 pm Aconitine poisoning at 8:00 admission, a slight sense of confusion, heart rate 240 beats / min, Pulse Bo 60 beats / min, blood pressure 120 / 80 mm Hg, breathing 24 beats / min, bilateral pupil slightly larger, nausea frequently. 10:40 generalized convulsions, the heart immediately stop, after extracardiac cardiac extrusion, endotracheal intubation, pressurized oxygen and other emergency treatment, 10:45 heartbeat recovery, ECG shows: frequent ventricular premature and Mild ventricular tachycardia, intermittent convulsions, intravenous stability 10 mg, can not be lifted, but plus 2.5% intravenous injection of thiopental 2 ml, convulsions ease. 10:50 breathing recovery, after the physical with the head body surface cooling, diuretic, and intermittent use of thiopental to shock, the patient finally in the morning of April 1, 1982