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王××,男,55岁,因发作性心前区痛八年,复发伴心悸一小时半而入院。一周前无明显诱因感心悸、胸闷,一个半小时前因劳累突感心前区持续性压榨样疼痛,经含硝酸甘油,静脉注射西地兰及利多卡因无效而入院。入院时体温36~8℃,脉搏200次/分,呼吸29次/分,血压10.7/9.33KPa(80/70mmHg),急性痛苦病容。心界向左下扩大,心率200次/分,律齐,心尖部收缩期吹风样杂音Ⅱ/Ⅵ。心电图示室性心动过速。经先后用利多卡因,普鲁卡因(?)胺等药物静脉注射无效,而采用胸外非同步电复律,功率为80瓦秒。电击后恢复窦性节律,心率90次/分,心电图示前壁心肌梗塞。
Wang × ×, male, 55 years old, because of episodes of pre-eczema eight years, recurrent palpitations an hour and a half and admitted to hospital. A week ago no obvious incentive to feel palpitations, chest tightness, an hour and a half ago due to fatigue suddenly felt like a constant pressure before the press-like pain, with nitroglycerin, intravenous cedilanid and lidocaine invalid and admitted to hospital. On admission, body temperature 36 ~ 8 ℃, pulse 200 beats / min, breathing 29 beats / min, blood pressure 10.7 / 9.33KPa (80 / 70mmHg), acute pain and sickness. Heart to expand to the left, heart rate 200 beats / min, law Qi, apical systolic hair-like noise Ⅱ / Ⅵ. ECG showed ventricular tachycardia. After using lidocaine, procaine (?) Amine and other drugs intravenous injection is invalid, and the use of extra-thoracic non-synchronous cardioversion, power of 80 watts. After the shock to restore sinus rhythm, heart rate 90 beats / min, ECG anterior myocardial infarction.