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例1:女,60岁。因胃部不适伴频发呕吐,不能进食一周,以“水、电解质平衡紊乱”,“急性胃炎;于1988年8月20日21点住院。检查:体温37.4℃,脉搏68次,呼吸18次,表情淡漠,神志清,心肺正常,四肢呈弛缓性软瘫,腱反射消失。化验:血钾2.7mmol/L,钠130mmol/L,氯80mmol/L,钙2mmol/L,二氧化碳结合率为22.9mmol/L,白细胞5.6×19~9/L。ECG示典型低钾波形。入院后给予补液、补钾等治疗,36小时内共静脉补糖盐水5000ml,氯化钾4g。22日9点患者突然四肢抽搐,呈潮氏呼吸,约4分钟呼吸停止。即行人工呼吸,心电图示波为室速。室颤、间断停搏,静注利多卡因(50～100mg/次)四
Example 1: Female, 60 years old. Because of stomach discomfort with frequent vomiting, can not eat a week, “water, electrolyte balance disorders,” "acute gastritis; at 20:00 on August 20, 1988 hospitalization. Check: body temperature 37.4 ℃, pulse 68 times, breathing 18 times , With indifferent expression, clear consciousness, normal heart and lung, flaccid soft limbs and disappearance of tendon reflex.Experiment: blood potassium 2.7mmol / L, sodium 130mmol / L, chlorine 80mmol / L, calcium 2mmol / L and carbon dioxide binding rate 22.9 mmol / L, white blood cells 5.6 × 19 ~ 9 / L.ECG showed typical hypokalemia.After admission give rehydration, potassium and other treatment, within 36 hours of co-venous blood sugar 5000ml, potassium chloride 4g.22 9:00 patients Suddenly limbs twitch, was tide of breathing, about 4 minutes to stop breathing. That is, artificial respiration, ECG wave velocity for ventricular fibrillation, intermittent arrest, intravenous lidocaine (50 ~ 100mg / times) four