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患者女,57岁.因反复阵发室上速发作20年,多经导搏定静注终止发作。本次发作持续8小时于1990年12月24日入院。查体:P200次/分,BPS/5.3kPa,心率200次/分,律齐,第一心音减低,各瓣膜区无杂音,四肢冰冷。化验无异常;EKG示阵发室上速;UCG示左室顺应性降低,临床诊断阵发室上速,可疑冠心病.入院当即用心律平70mg静注无效,20分钟后重复用心律平70mg,于40分钟后心率减慢至150次/分,但仍未终止发作,遂以异搏定5mg静注,当用至2mg时室上速突然终止,出现窦性停搏,交界性逸搏心律.继而发生全心停搏,阿斯综合征发作,经口对口人工呼吸;胸外按压,静注异丙肾上腺素后约15秒钟复苏成功.
Female patient, aged 57. Due to repeated episodes of supraventricular tachycardia episodes of 20 years, the number of intravenous injection to stop the seizure. The attack lasted 8 hours and was admitted on December 24, 1990. Examination: P200 beats / min, BPS / 5.3kPa, heart rate 200 beats / min, law Qi, the first heart sound reduced, the valve area without noise, limbs cold. EKG showed paroxysmal supraventricular tachycardia; UCG showed decreased left ventricular compliance, clinical diagnosis of paroxysmal supraventricular tachycardia, suspicious coronary heart disease .At admission immediately with intravenous injection of 70mg intravenously invalid, 20 minutes later repeated with rhythm of the flat 70mg , 40 minutes later, the heart rate slowed to 150 beats / min, but still did not stop the attack, then intravenous verapamil 5mg intravenous injection, when used to 2mg when the supraventricular tachycardia abrupt termination, sinus arrest, borderline esophageal Followed by heart arrest, Asperger syndrome onset, oral counterparts artificial respiration; chest compression, intravenous injection of isoproterenol about 15 seconds after the successful resuscitation.