以心室电风暴为主要临床表现的急性心肌梗死2例
People's Military Surgeon（2008）
Abstract
1 病例报告
例1 患者男,79岁.因散步时突发心前区不适,伴面色苍白、出汗,现场急救立即给予硝酸甘油舌下含服,吸氧,行心电图检查时,突然意识不清,呼之不应,抽搐,心电图示室颤,血压为0.除颤后心电图示V<,1>～V<,5>导联ST抬高2.0 mV,高于残存的R波形成墓碑样改变,诊断为急性广泛前壁心肌梗死.反复发作室速、室颤,电除颤4次,转复窦性心律,同时利多卡因100 nag入壶,多巴胺40 mg、利多卡因300 mg加生理盐水250 ml静脉滴注.
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