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例1,男,50岁.因误服活血壮筋丹30丸致呕吐(2次),头晕、口唇及四肢麻木、多汗。经当地卫生院以1/1000高锰酸钾洗胃,肌注阿托品0.5mg后返家。2小时后,患者心悸、气急、晕厥,面色青紫、四肢抽动,急诊入我院.体检:T37℃,P56,R28,BP50/30,神志尚清,呼吸急促,发绀烦躁不安,脉缓短绌,心音低钝,律不齐。两肺及肝脾(一),四肢发凉、潮湿,肌力及肌张力尚正常,未引出病理性反射。心电图示尖端扭转型室性心动过速.治疗经过:立即静推阿托品5mg,继用阿托品5mg,氢化考的松100mg 加5%葡萄糖盐水500ml 静滴,一小时后病人烦躁抽搐,心率104,早搏4～5次/分,BP60/40,心电图示频发性室性早搏,即
Example 1, male, 50 years old. Due to blood stasis and strong pills caused by 30 pills vomiting (2 times), dizziness, numbness of lips and limbs, sweating. The local hospitals to 1/1000 of potassium permanganate gastric lavage, intramuscular injection of atropine 0.5mg after the return home. After 2 hours, the patient had heart palpitations, shortness of breath, fainting, bruising, limbs twitch, emergency department into our hospital.Physiological examination: T37 ℃, P56, R28, BP50 / 30, clear consciousness, shortness of breath, cyanosis, restlessness, shortness of breath Low heart sound blunder, irregularities. Two lungs and liver and spleen (a), limbs cold, wet, muscle strength and muscle tension is normal, did not lead to pathological reflex. Electrocardiogram showed torsades de pointes ventricular tachycardia after treatment: immediate intravenous atropine 5mg, followed by atropine 5mg, hydrocortisone 100mg plus 5% glucose saline 500ml intravenous infusion, an hour after the patient irritability convulsions, heart rate 104, premature beats 4 ~ 5 times / min, BP60 / 40, ECG showed frequent premature ventricular contractions, that is