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男性,76岁,因患肺源性心脏病,心力衰竭,心房纤颤,于1985年8月1日入院。心电图示快速房颤,伴不完全性右束枝传导阻滞。入院时血清钾4.4血Eq/L,钠144mEq/L,氯93mEq/L,钙8.8mg％,镁2.5mg％,尿素氮27mg％。入院后给予抗生素及利尿剂,(肌注速尿20mg两次,口服20mg Tid 3天)等治疗。8月12日下午5时,病人突然抽搐,神志不清,心电监护示多源多发性室性早搏,间有短阵室性心动过速。即予静脉注射利多卡因100mg,并以利多卡因300mg,氯化钾1.5g加入500ml液体内继续静脉滴注,无效,15分钟后再静注利多卡因100mg,并将静滴量加大到600mg,心
Male, 76 years old, admitted to hospital on August 1, 1985 due to pulmonary heart disease, heart failure, and atrial fibrillation. ECG rapid atrial fibrillation, with incomplete right bundle branch block. At admission, serum potassium 4.4 Eq / L, sodium 144 mEq / L, chloride 93 mEq / L, calcium 8.8 mg%, magnesium 2.5 mg%, and urea nitrogen 27 mg%. Admitted antibiotics and diuretics after admission, (intramuscular furosemide 20mg twice, oral 20mg Tid 3 days) and other treatment. At 5 o’clock on the August 12, the patient suddenly convulsions, unconsciousness, ECG monitoring showed multiple source of multiple ventricular premature beats, have a burst of ventricular tachycardia. That is to intravenous injection of lidocaine 100mg, and to lidocaine 300mg, potassium chloride 1.5g added 500ml liquid continuous intravenous infusion, invalid, 15 minutes after intravenous lidocaine 100mg, and intravenous infusion increased To 600mg, heart