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患者,女,66岁。因胸闷,气急于1987年7月15日入院。两天前晚上咳嗽后曾发生胸闷,休息后好转。检查:呼吸浅快,血压150/90。口唇轻度紫绀。心律不齐,最快心率160～236次。血K~+3.9mmol/L,Na~+138mmol/L,Cl~-98mmol/L。心电图示快速房颤,室率150次,阵发性扭转型室速,QT 时间0.28秒,ST 段下移,T 波倒置。入院后突然神志不清,出现“阿斯”现象,经胸外按摩,利多卡因50mg 静注后神志转清。加用西地兰0.2mg、溴苄胺300mg,5分钟后
Patient, female, 66 years old. Due to chest tightness, shortness of breath on July 15, 1987 admission. Chest tightness occurred two days ago after the cough at night, after the break improved. Check: shallow breathing, blood pressure 150/90. Mild cyanosis lips. Arrhythmia, the fastest heart rate 160 ~ 236 times. Blood K ~ + 3.9mmol / L, Na ~ + 138mmol / L, Cl ~ -98mmol / L. ECG rapid atrial fibrillation, room rate 150 times, paroxysmal torsion VT, QT time 0.28 seconds, ST segment down, T wave inversion. After admission suddenly unconscious, there “Asi” phenomenon, after thoracic massage, lidocaine 50mg after intravenous conscious mind clear. Plus cedilanid 0.2mg, bromobenzylamine 300mg, 5 minutes later