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病员朱×,男,57岁,因突然昏倒,抽搐2小时入院。入院时未闻心跳,经使用异丙肾素后可闻心音,ECG 示Ⅲ°AVB,房室分离,自主心室律,室率10——30次/分,心搏最长间歇11秒.经用异丙肾素静推静滴共11mg,阿托品4mg,氢化可的松200mg 抢救1小时效差,故紧急经胸壁针刺心脏起搏,ECG 示起搏心律。2小时后经股静脉插入临时心脏起搏导管,接上按需起搏器,经复苏后期处理,病人次日清醒,恢复窦律,停止起搏。第三天晚12时病人突然大叫一声后昏迷抽搐,呼吸暂停,心音消失,ECG 所见如前,室率10——20
Patient Zhu ×, male, 57 years old, due to a sudden collapsed, convulsions 2 hours admission. Admitted to the hospital did not hear the heartbeat, after using isoproterenol can hear the heartbeat, ECG showed AV Ⅲ °, atrioventricular separation, autonomic ventricular rhythm, ventricular rate 10 - 30 beats / min, maximum heart rate intermittent 11 seconds. Isoprenaline intravenous infusion of a total of 11mg, atropine 4mg, hydrocortisone 200mg rescue 1 hour difference, so the emergency chest wall acupuncture cardiac pacing, ECG showed pacemaker. Two hours later, a temporary cardiac pacing catheter was inserted through the femoral vein and connected to an on-demand pacemaker. After recovery, the patient was sober the next day, sinus rhythm was restored, and pacing was stopped. The third day after the night at 12 o’clock the patient suddenly shouted after a coma convulsions, apnea, heart sounds disappear, as ECG before, room rate 10--20