患者男性,78岁,医生,因胸闷气促,阵发性心前区绞痛并向左肩背部放射1周,突然昏倒1小时于1985年3月29日急诊入院。既往高血压病史不详。入院查:血压90/62mmHg、口唇发绀、两肺有少许干湿性罗音、心律不齐130次/分。临床诊断为冠心病、心绞痛、心肌梗塞?心电监护发现室性早搏及短暂室速。立即用利多卡因50mg 静脉缓注,心律转为正常。继用利多卡因维持。次日停用利多卡因,室速又复发且呈持续性,复发又1天后再给利多卡因100mg 静脉缓注无效,40分钟后又给100mg,心电监护下室速立即转为室颤,经抢救无效死亡。国内王氏(1981)报告1小时内快速静注 Male patient, 78 years old, doctor, due to chest tightness, shortness of breath, paroxysmal anterior pectoris and left shoulder back for 1 week, suddenly collapsed 1 hour on March 29, 1985 emergency admission. Previous history of hypertension is unknown. Admission check: blood pressure 90 / 62mmHg, lips cyanosis, lungs have a little wet and dry rales, arrhythmia 130 beats / min. Clinical diagnosis of coronary heart disease, angina pectoris, myocardial infarction? ECG monitoring of ventricular premature beats and short-term VT. Immediately with lidocaine 50mg intravenous slow, rhythm to normal. Following the use of lidocaine to maintain. The next day deactivation of lidocaine, ventricular tachycardia recurrence and was persistent, relapse and 1 day after giving lidocaine 100mg intravenous slow, 40 minutes after giving 100mg, ECG immediately under ventricular tachycardia into ventricular fibrillation , After the rescue died. Domestic Wang (1981) report 1 hour rapid intravenous injection