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本文报告1例因服用大剂量心得安引起休克,随之发生呼吸停止,应用人工呼吸和药物治疗,复苏成功。患者女性,58岁。患躁狂抑郁症。自服心得安100片(每片10mg)后约1小时,家属发现病人意识不清送到医院。就诊时,血压12/8kPa.(90/60mmHg),呼吸14次/分,脉搏60次/分,意识不清,心率60次/分,节律规整,心音弱,肺呼吸音粗糙,窦性心律。提检血糖、血钾、CO_2CP(二氧化碳结合力)结合力,静点10%葡萄糖500ml,洗胃后,患者血压下降10.7/6.67kPa(80/50mmHg)。心电监护,窦性心动过缓55次/分,立即静注异丙肾上腺素
This article reports 1 case because of taking large doses of propranolol caused shock, followed by respiratory arrest, the use of artificial respiration and drug treatment, the successful resuscitation. Patient female, 58 years old. Manic-depressive depression. Self serving self-assured An 100 (each 10mg) about 1 hour later, the family found the patient unconscious sent to the hospital. At treatment, blood pressure 12 / 8kPa. (90 / 60mmHg), breathing 14 beats / min, pulse 60 beats / min, unconsciousness, heart rate 60 beats / min, rhythm regularity, weak phonon, rough lung breath sounds, sinus rhythm . Check the blood sugar, serum potassium, CO_2CP (carbon dioxide binding) binding capacity, static point 10% glucose 500ml, gastric lavage, the patient’s blood pressure decreased 10.7 / 6.67kPa (80 / 50mmHg). ECG, sinus bradycardia 55 beats / min, intravenous isoproterenol immediately