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例1,男,49岁。以持续性胸痛4小时于2000年6月10日9时急诊入院。ECG示:急性下壁心肌梗死,Ⅱ、Ⅲ、avF导联ST段上移>0.4～0.6mV。患者在刚进入ICU病房后突然出现面色青紫,四肢抽搐,意识丧失,呼吸、心跳停止,小便失禁。心电监护仪示:心室颤动,BP:0/0mmHg。立即胸外心脏按压,人工呼吸,建立静脉通路,300 J直流电击除颤,4分钟后复苏成功,患者呼吸,心跳恢复,意识清楚。P100次/min,BP100/67 mmHg,即予尿激酶150万u静脉溶栓治疗。溶栓2小时后患者胸痛明显缓解。ST段
Example 1, male, 49 years old. Four hours of persistent chest pain at 9 o’clock on the June 10, 2000 emergency admission. ECG showed: acute inferior myocardial infarction, Ⅱ, Ⅲ, avF lead ST segment up> 0.4 ~ 0.6mV. The patient suddenly appeared bruising, limbs twitching, loss of consciousness, respiration, cardiac arrest, urinary incontinence after entering the ICU ward. ECG monitor shows: ventricular fibrillation, BP: 0 / 0mmHg. Immediate chest cardiac pressure, artificial respiration, the establishment of venous access, 300 J DC defibrillation, 4 minutes after the successful resuscitation, the patient breathing, heart rate recovery, awareness. P100 times / min, BP100 / 67 mmHg, that urokinase 1.5 million u intravenous thrombolytic therapy. Chest pain was relieved 2 hours after thrombolysis. ST segment