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王××,男,27岁,住院号90504。1977年7月21日10时20分操作手枪电钻时不慎触电(电压220v),当即摔倒,不省人事。片刻后,由同事切断电源。10分钟后,赤脚医生赶到现场,见患者全身青紫,心音消失,立即进行体处心脏挤压及人工呼吸。待我院救护人员到达时已11时20分。经检查,患者深昏迷,面部及四肢末端紫绀,瞳孔散大,呼吸停止,大动脉搏动消失,心音听不到。立即作气管插管,加压呼吸,继续体外心脏挤压,并叩击胸骨体下部3～4次。11时25分,心电图出现数次慢而短暂的室性自身节律。5分钟后,心电图示心跳又完全停止。即予心内注入盐酸肾上腺素2毫克,心电图出现室颤。11时44分,转为紊乱性心室自身节律。继续体外心脏挤压。11时53分,心电图转为心室自主节律,有室性及结性二个起搏点。随即送本院抢救。来院途中自主呼吸逐渐恢复。
Wang × ×, male, 27 years old, hospital number 90504. July 21, 1977 at 10:20 when operating a pistol drill accidentally electrocuted (voltage 220v), immediately fell, unconscious. After a moment, cut off the power by colleagues. 10 minutes later, barefoot doctor rushed to the scene, see the patient bruising, heart sounds disappear, immediately carried out at the body of the heart squeeze and artificial respiration. When our hospital ambulance arrived at 11: 20. After examination, patients with deep coma, facial and extremities cyanosis, mydriasis, respiratory arrest, aortic pulse disappeared, heart sounds can not hear. Immediately for endotracheal intubation, pressure breathing, continue to squeeze the heart of the heart, and tapping the lower part of the sternum 3 to 4 times. 11:25, ECG appeared several slow and transient ventricular self-rhythm. Five minutes later, the ECG stopped completely. Intravenous injection of epinephrine hydrochloride 2 mg, ECG appears ventricular fibrillation. 11:44, into a disorder of the ventricular rhythm. Continue to squeeze the extracorporeal heart. 11:53, ECG changes to ventricular autonomic rhythm, ventricular and nodal two pacemaker. Immediately sent to the hospital for rescue. The way to hospital spontaneous breathing gradually restored.