论文部分内容阅读
例1:男,67岁,因阵发性胸闷3年,晕厥二次入院。住院期间突发意识丧失,面色苍白,四肢抽动,心电图示室性心动过速(VT),利多卡因100mg 未能中止,缓慢静注异搏定7mg 后VT 中止。例2:男,62岁,因阵发性心悸一天持续加重3小时就诊。体检:面色苍白,心脏稍向左扩大,心率180次/分,血压70/40,ECG 示VT,静注利多卡因100mgVT 未中止,静注异搏定5mg,VT 消除。例3:男,48岁,因发作性心悸5年,加重30分钟就诊。体检:面色苍白,口唇稍紫绀,血压80/50mmHg,心率200次/分,ECG 示VT,静注利多卡因100mg,乙吗噻嗪100mg均未能中止,静注异搏定10mg 后VT 消失。我们用异搏定治疗的3例VT 病人,从发作时ECG 分析,3例均呈右束支阻滞形,两例呈电轴右
Example 1: Male, 67 years old, due to paroxysmal chest tightness for 3 years, secondary admission to the syncope. Sudden loss of consciousness during hospitalization, pale, limbs twitch, electrocardiogram ventricular tachycardia (VT), lidocaine 100mg failed to stop, intravenous injection of verapamil 7mg after termination of VT. Example 2: Male, 62 years old, due to paroxysmal palpitations continued to increase for 3 hours a day treatment. Physical examination: pale, slightly enlarged heart, heart rate 180 beats / min, blood pressure 70/40, ECG showed VT, intravenous lidocaine 100mgVT did not stop intravenous verapamil 5mg, VT eliminate. Example 3: Male, 48 years old, due to stroke palpitation for 5 years, increased 30 minutes treatment. Physical examination: pale, slightly cyanotic lips, blood pressure 80 / 50mmHg, heart rate 200 beats / min, ECG showed VT, intravenous injection of lidocaine 100mg, etzamothiazide 100mg failed to stop, intravenous verapamil 10mg VT disappeared . We treated with verapamil 3 cases of VT patients, ECG analysis from the onset, 3 cases were right bundle branch block, two cases were axial