论文部分内容阅读
例1,男性,58岁,因反复心慌心前区痛7月,加重3天入院。检查:心率84次/分,早搏4～6次/分,心尖区Ⅲ/ⅥSM 杂音。心电图:频发单源性室性早搏、陈旧性侧壁心肌梗塞。心室晚电位:阴性。入院后经治疗症状减轻。1989年11月28日给病人静注1.6—二磷酸果糖(FDP)5.0g,用药后病人突觉心慌、胸闷、头晕,继之意识丧失约30秒钟,当时心率80次/分,BP9.33/6.0kPa,心电监护示:频发多源性室性早搏。经吸氧、静注利多卡因50mg,同时利多卡因500mg、多巴胺
Example 1, male, 58 years old, because of repeated palpitation precordial pain in July, increased 3 days admission. Check: heart rate 84 beats / min, premature beats 4 to 6 beats / min, apex Ⅲ / Ⅵ SM murmur. ECG: Frequent single ventricular premature beats, old side wall myocardial infarction. Late ventricular potential: negative. After treatment, symptoms were relieved. On Nov. 28, 1989, patients were intravenously injected with 5.0 g of fructose-1,6-diphosphate (FDP). After treatment, the patient suddenly became flustered, chest tightness and dizziness, followed by a loss of consciousness for about 30 seconds when the heart rate was 80 bpm. 33 / 6.0kPa, ECG monitoring showed: Frequent multi-ventricular premature beats. After oxygen, intravenous lidocaine 50mg, at the same time lidocaine 500mg, dopamine