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本文报道2例心肌梗塞(MI)后顽固性室性心动过速(VT)和心室纤颤(VF)的点滴救治经验。【例1】男,46岁。1979年患急性前壁、下壁MI,梗塞后常有心绞痛。1986年2月因反复发作VT、VF住院。因难以控制VT发作,于同年4月14日转我院心脏监护室(CCU)。查体:BP104/70。肺正常。心稍大,律整,心率74次/分,心尖有S_(4o) ~(99m)Tc心血池显影示心尖部室壁瘤,左室EF 41%。ECG示陈旧前壁,下壁MI。血清K、Na、Cl、BUN、血气均正常。入院当日予利多卡因2.5mg/分静滴,呈窦性
This article reports two cases of myocardial infarction (MI) refractory ventricular tachycardia (VT) and ventricular fibrillation (VF) drip treatment experience. [Example 1] Male, 46 years old. 1979 suffering from acute anterior wall, inferior wall MI, often after angina pectoris. February 1986 due to recurrent VT, VF hospitalization. Because it is difficult to control the onset of VT, in April 14th the same year transferred to our hospital cardiac care unit (CCU). Physical examination: BP104 / 70. Normal lungs. Heart slightly larger, law, heart rate 74 beats / min, apical S_ (4o) ~ (99m) Tc cardioplegia showed apical aneurysm, left ventricular EF 41%. ECG shows the old front wall, the next wall MI. Serum K, Na, Cl, BUN, blood gas are normal. On the day of admission to lidocaine 2.5mg / min infusion, was sinus