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患者,刘×,女性,42岁。因阵发性短暂抽搐于1978年3月10日入院。入院检查:患者呈肥胖体型,两上眼睑可见黄豆粒大的黄色瘤各一个,神清,平卧位,无紫绀,血压正常,心率84次/分,心律不齐,心电图示频繁多发性室性早搏呈二、三联律,室性早搏靠近前一T波。因心电图未见有梗塞波型,加之入院当天有2～3次一瞬间抽搐,约持续20～30秒钟,失去知觉,随后自行缓解,故未予以重视。直至下午4时患者突然抽搐长达2～3分钟,失去知觉,颜面口唇紫绀,抽完后呕吐一次,随后神志清醒,心率80次/分,心律不齐呈频繁早搏。于4时半做心电图示多源性室性早搏,有时呈二联律,伴阵发性室性心动过速R波靠近T波,仍未见梗塞图形。立即给予静点利多卡因400毫克/500毫升葡萄糖液,氧气吸入。半小时后患者又突然抽搐,两眼上翻,口吐白沫,丧失知觉,心音消失,呼吸心跳同时停止,心电示波呈心室纤颤。瞳孔完全散大固定,复苏无效而死亡。
Patient, Liu ×, female, 42 years old. Due to paroxysmal transient convulsions in March 10, 1978 admission. Admission examination: the patient was obese body size, two on the eyelid visible large yellow kidney tumor each one, God clear, supine position, no cyanosis, normal blood pressure, heart rate 84 beats / min, arrhythmia, ECG frequent multiple compartment Premature beats were two, triple the law, ventricular premature beats close to the previous T wave. There was no infarction type due to electrocardiogram. In addition, 2 to 3 times instantaneous convulsions on the day of admission were lasted for about 20 to 30 seconds, which were unconscious and then relieved by themselves. Therefore, no attention was paid to them. Until 4 pm, the patient suddenly convulsions for up to 2 to 3 minutes, unconsciousness, facial lip cyanosis, pumping vomiting once, then conscious, heart rate 80 beats / min, arrhythmia was frequent premature beats. Electrocardiogram at 4:30 to do multi-source ventricular premature beats, and sometimes was bipolar law, with paroxysmal paroxysmal ventricular tachycardia R wave near the T wave, still no infarction pattern. Immediately given intravenous lidocaine 400 mg / 500 ml glucose solution, oxygen inhalation. Half an hour later the patient suddenly convulsions, the two turned up, foaming at the mouth, loss of consciousness, heart sounds disappear, breathing heart rate stopped at the same time, ECG showed ventricular fibrillation. Dilated pupil completely fixed recovery invalid and died.