论文部分内容阅读
一、病例简介病例1: 男性,66岁,总胆管复发性结石,过去曾两次行胆道手术,三天前发冷发烧,巩膜黄染,血压下降,1976年12月8日行总胆管切开取石和引流术。术后血压不稳,脉速而弱,呼吸困难,深部反射引不出,无尿。心电图测定,发现S—T段下降、Q—T时间延长、TU融合。生化检查:氯99毫克当量/升、钠100毫克当量/升、钾1.66毫克当量/升、二氧化碳结合力40容积％。当即在补血补液同时输10％氯化钾10毫升溶于5％葡萄糖内点滴,但症状不见好转,相继出现室性早搏、室性心动过速、室性纤颤而死亡。病例2: 男性,24岁,左上肢及髋部Ⅲ度电击伤(面积为10％),伤后第七天在普鲁卡因静脉复
Case Description Case 1: Male, 66 years old, with recurrent bile duct stones. In the past, he performed biliary surgery twice in the past. He had chills and fever, scleral yellowing and blood pressure drop three days ago. On December 8, 1976, Open the stone and drainage. Postoperative unstable blood pressure, pulse speed and weak, dyspnea, deep reflex can not lead, no urine. ECG determination, found S-T segment decreased Q-T time extension, TU fusion. Biochemical tests: chlorine 99 mg equivalent / liter, sodium 100 mg equivalent / liter, potassium 1.66 mg equivalent / liter, carbon dioxide binding force 40% by volume. Immediately in the blood rehydration and lose 10% potassium chloride 10 ml dissolved in 5% glucose drip, but the symptoms did not improve, one after another premature ventricular contractions, ventricular tachycardia, ventricular fibrillation and death. Case 2: Male, 24 years old, third-degree electric shock on left upper extremity and hip (area 10%), on the seventh post-injury in procaine vein