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病例简介例1.男性,27岁,工人,住院号34974。1975年3月22日上午10时因腰背疼痛,自服川乌药酒3钱,半小时后出现全身麻木,吐字不清,呕吐,出汗,急诊入院。体检:脉搏60次/分,血压110/70毫米汞柱。精神萎靡,面色苍白。两肺呼吸音正常,心界不扩大,心律不齐,呈二联律,无杂音。肝脾未扪及,膝反射正常。心电图显示频发多源性室性期前收缩,房室结干拢。经及时给予10%葡萄糖200毫升和阿托品5毫克静脉滴入,约1小时30分后,心律匀齐,全身症状若失;继以葡萄糖及阿托品静脉滴入维持,22小时内共输入液体2000毫升,阿托品22毫克,次日复查心电图呈现窦性心律,心肌受累,10天后再次复查心电图心肌受累已恢复而出院。
Case description 1. Male, 27 years old, worker, hospital number 34974. At 10:00 on March 22, 1975 because of back pain, self-serving Chuan Wu medicine 3 money, half an hour after the emergence of general numbness, articulation, vomiting , Sweating, emergency admission. Physical examination: pulse 60 beats / min, blood pressure 110/70 mm Hg. Apathetic, pale. Breath sounds two lungs normal, heart does not expand, arrhythmia, was law, no noise. No palpable liver and spleen, knee reflex normal. Electrocardiogram showed frequent multi-ventricular premature contraction, atrioventricular node. After timely administration of 10% glucose 200 ml and atropine 5 mg intravenous infusion, about 1 hour and 30 minutes later, the heart rhythm homogeneous Qi, systemic symptoms such as loss; followed by intravenous infusion of glucose and atropine maintenance, a total of 22 hours, enter the liquid 2000 ml , Atropine 22 mg, the next day ECG showed sinus rhythm, myocardial involvement, 10 days after re-examination of myocardial electrocardiogram involvement has been restored and discharged.