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急性心肌梗塞并发心室颤动,多发生于梗塞的早期,若能及时发现和抢救,可使一部分患者得到恢复。最近,遇到2例急性心肌梗塞患者,心跳骤停分别达20～35分钟,经积极抢救,均获成功。病例摘要例1 黄××,女,67岁,住院号238848。因心前区翳痛3天,持续性加剧1小时于1985年3月18日上午7时30分来急诊。经描记心电图,ST段V_2～V_3导联抬高0.2～0.5毫伏,按急性心肌缺血收入院。当晚8时55分突觉头晕、气促,接着心跳和呼吸停止,立即行胸外心脏按压,气管插管加压吸氧,心电图示心室颤动。9时5分以300瓦秒电击无效,静脉注射
Acute myocardial infarction complicated by ventricular fibrillation, occurred in the early stages of infarction, if timely detection and rescue, can make some patients be restored. Recently, encountered 2 patients with acute myocardial infarction, cardiac arrest were 20 to 35 minutes, after active rescue, were successful. Case summary 1 Huang × ×, female, 67 years old, hospital number 238848. Due to precordial pain for 3 days, sustained increase of 1 hour on March 18, 1985 at 7:30 in the emergency. Traced ECG, ST segment V_2 ~ V_3 lead elevated 0.2 ~ 0.5 mV, according to acute myocardial ischemia income hospital. 8:55 that night suddenly dizziness, shortness of breath, followed by heartbeat and breathing stopped immediately chest compression, endotracheal intubation pressure oxygen, ventricular fibrillation ECG. At 9:05 hrs, a 300-W-second electric shock was ineffective and was injected intravenously