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心脏复苏时,建立有效的冠脉灌注压是决定心脏停搏后生存的主要因素,应用肾上腺素可使冠脉灌注压升高,复苏成功率明显提高。最近,我们使用大剂量肾上腺素使一例胆道结石手术后心肺聚停达23分钟的患者心脏复苏成功,现报导如下: 男性,50岁,海口市人,病案号48109。因右上腹痛14天、畏寒、发热伴黄疽2天于1993年1月30日入院。住院后经过检查确诊为:(1)胆道感染,(2)胆道结石,(3)阻塞性黄疸。术前查血电解质、胸平片和心电图均为正常。2月5日8时行手术治疗,
Cardiac resuscitation, the establishment of effective coronary perfusion pressure is to determine the survival of cardiac arrest after cardioversion, the application of epinephrine can make coronary perfusion pressure, the success rate of recovery was significantly improved. Recently, we used high-dose epinephrine to make a successful cardiopulmonary resuscitation in patients with CPB for 23 minutes after biliary calculus. We report the following: Male, 50 years old, Haikou City, case number 48109. Right upper quadrant pain for 14 days, chills, fever with jaundice 2 days in January 30, 1993 admission. After inpatient examination confirmed as: (1) biliary tract infection, (2) biliary stones, (3) obstructive jaundice. Check blood electrolytes before surgery, chest radiograph and ECG are normal. February 5 at 8 o’clock surgery,