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患男,41岁,以“扩张型心肌病”心衰Ⅱ°入院。因患者入睡困难口服安定效果不佳,入院第3d晚口服速可眠0.2g,约15min左右患者突感双侧胸部疼痛不适,气促。继之精神恍惚,呼吸慢而深,节律不规则,呈潮式呼吸。听诊双肺呼吸音稍粗,未闻及罗音,心率120次/min,律齐,心音低钝,心尖区可闻及Sm期吹风样杂音,心电图大致正常,血压偏低(10/7kPa)。立即给予高流量吸氧,静推呼吸兴奋剂及升压药物,抢救1h后,患者意识逐渐恢复,呼吸节律整齐,血压平稳。但患者仍处于睡眼状态。
Male, 41 years old, with “dilated cardiomyopathy” heart failure Ⅱ ° admission. Difficult to fall asleep because of poor stability of oral stability, the first three days after admission oral can sleep 0.2g, about 15min patients with sudden chest pain discomfort, shortness of breath. Followed by trance, slow and deep breathing, irregular rhythm, was tidal breathing. Auscultation of lungs breath sounds a little thick, unheard and rales, heart rate 120 beats / min, law Qi, heart sound low blunt apex area can be heard and sm smoke-like noise, ECG is generally normal, low blood pressure (10 / . Immediately give high-flow oxygen, static push breath stimulants and booster drugs, rescue 1h, patient consciousness gradually restored, breathing rhythm and tidy, stable blood pressure. But the patient is still in sleepy eyes.