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患者:女,67a。因胸闷7mo,阵发性心悸1wk,发作性晕厥30h,于93年4月6日入院.查体:P42次/min,BP19/12kPa。双肺(-),心音低,律规整,心尖区闻及ⅡSM,心室率42次/min。血钾4.3mmol/L。ECG 示Ⅱ°Ⅱ型 AVB。诊为冠心病、Ⅱ°Ⅱ型 AVB。给予异丙基肾上腺素(异丙肾)1mg 加入5%GNS 500ml 静滴,滴速3μg/min,静滴过程中出现阿一斯综合症发作两次,ECG 及心电监护仪示尖端扭转型室速(Tors-ade de pointes,Tdp)(见图)。经心前区锤击恢
Patient: Female, 67a. Due to chest tightness 7mo, paroxysmal palpitations 1wk, paroxysmal syncope 30h, admitted to hospital on April 6, 1993. Physical examination: P42 times / min, BP19 / 12kPa. Two lungs (-), low heart sound, regular law, apex area smell and Ⅱ SM, ventricular rate 42 beats / min. Potassium potassium 4.3mmol / L. ECG showed Ⅱ ° Ⅱ type AVB. Diagnosis of coronary heart disease, Ⅱ ° Ⅱ type AVB. Given isoproterenol (isoproterenol) 1mg added 5% GNS 500ml intravenous infusion, drip rate 3μg / min, intravenous infusion of Acrys syndrome occurred twice, ECG and ECG showed tip torsion type Tors-ade de pointes (Tdp) (see figure). By the heart zone hammer recovery