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例1女,19岁.因电动缝纫机漏电电击致心脏骤停约16分钟就诊.既往体健.心电图示室性自主节律(电机械分离).在行心肺复苏的同时,立即静注不经稀释的地塞米松30mg.患者很快恢复窦性心律.因呼吸未恢复,加用呼吸机.并一次性使用了碳酸氢钠、呼吸兴奋剂、能量合剂、利尿剂等药并行心电监护.约半小时后恢复自主呼吸,继续抢救成功.例2 男,26岁.因水泵漏电电击致心脏骤停约12分钟就诊.既往体健,心电图示室颤很快转为结性心律,10分钟后追加地塞米松20mg,恢复窦性心律.除未用呼吸机、除颤器外,其他救治同侧1,20分钟后恢复自主呼吸,救治成功.讨论 糖皮质激素除具一般的抗炎、抗毒作用外,尚有扩张血管、加强心脏收缩力、改善微循环、
Case 1 female, 19 years old. Due to electric sewing machine leakage shock caused by cardiac arrest for about 16 minutes treatment. Previous healthy. Electrocardiogram ventricular autonomic rhythmic (electromechanical separation.) In the line of cardiopulmonary resuscitation, immediately intravenous infusion of undiluted Dexamethasone 30mg. Patients quickly return to sinus rhythm.Because the resumption of breathing, plus ventilator. And a one-time use of sodium bicarbonate, respiratory stimulants, energy mixture, diuretics and other drugs parallel ECG monitoring. Resume spontaneous breathing after hours, continue to rescue success .Example 2 male, 26 years old due to pump leakage shock caused by cardiac arrest for about 12 minutes treatment .Previous health, ECG showed ventricular fibrillation quickly converted to the rhythm of the heart, 10 minutes later Dexamethasone 20mg, to restore sinus rhythm.In addition to without ventilator, defibrillator, the other treatment ipsilateral 1,20 minutes after resumption of spontaneous breathing, treatment success.Conclusion Glucocorticoid with a general anti-inflammatory, anti-toxic effects In addition, there are still dilation of blood vessels, strengthening cardiac contractility, improve microcirculation,