患者女性,63岁。因心悸、气短、胸闷一年,加重一周入院。查体:血压16/11kPa(120/80mmHg)、心率40次/分、心界叩诊向左下扩大、未闻杂音、两肺呼吸音清晰、肝脾未触及、心电图示三度房室传导阻滞,住院结合病史诊断心肌病,安置心脏起搏器,术后因反复室性心动过速,在半小时内分三次静脉注射乙胺碘呋酮300毫克,室性心动过速不能控制,血压正常。半小时后静注心律平70毫克,心律转为窦性,但在转复后30分钟发现患者烦躁不安,呼吸急促,唇绀、脉细、四肢发凉、听诊心音低钝、两肺底散在干呜音,血压降至6.6/0kPa(50/0 mmHg),考虑为心力衰竭,心源性休克,给西地兰、阿拉明、多巴酚丁胺、异丙肾上腺素、氢化可的松等治疗,血压逐渐 Patient female, 63 years old. Due to heart palpitations, shortness of breath, chest tightness a year, increased one week admission. Physical examination: blood pressure 16 / 11kPa (120 / 80mmHg), heart rate 40 beats / min, heart percussion increased to the lower left, no unheard noise, clear breath sounds of both lungs, liver and spleen not touched, ECG third degree atrioventricular block , Combined with hospital history of diagnosis of cardiomyopathy, placement of pacemaker, postoperative recurrent ventricular tachycardia, intravenous amiodarone 300 mg in three hours within half an hour, can not control ventricular tachycardia, normal blood pressure . Half an hour after intravenous injection of 70 mg of heart rhythm, the heart rate to sinus, but 30 minutes after the recovery found in patients with irritability, shortness of breath, cyanosis, pulse, cold limbs, auscultation heart sound low blunt, Dry aphonia, blood pressure dropped to 6.6 / 0kPa (50/0 mmHg), considered as heart failure, cardiogenic shock, to cedilanid, alamin, dobutamine, isoproterenol, hydrocortisone Other treatment, blood pressure gradually