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患者,女,52岁,住院1094号。因风心病二尖瓣狭窄,房颤合并心衰于1980年9月10日入院,经治疗好转。9月22日病人突然心慌气急,检查 BP100/70mmHg,P180次/分,心尖部可触及猫喘,听诊4级隆隆样舒张期杂音,心律不整,率快;肝大压痛,肝颈静脉逆流征阳性。心电图提示多发性多源性室性心动过速,遂用利多卡因100mg 加50%葡萄糖40ml,静脉注射,当推至3分钟时病人感到咽部堵塞,胸憋气喘,烦躁不安,头颈部或小指的小肌肉不
Patient, female, 52 years old, hospital 1094. Due to rheumatic mitral stenosis, atrial fibrillation with heart failure admitted to hospital on September 10, 1980, the treatment improved. September 22, the patient suddenly panicky, check BP100 / 70mmHg, P180 beats / min, apex can reach cat asthma, auscultation grade 4 rumbling diastolic murmur, arrhythmia, rate; liver tenderness, liver jugular vein reflux syndrome Positive. Electrocardiogram prompted multiple, multi-source ventricular tachycardia, then use lidocaine 100mg plus 50% glucose 40ml, intravenous injection, when pushed to 3 minutes when the patient felt pharyngeal blocked, chest gasping, irritability, head and neck Or little finger muscles do not