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临床资料及心电图患者男性,65岁,农民。1977年10月27日下午5时为治疗慢性腰腿痛,饮用游医自制的药酒(成分不详)约50～100ml。饮后约半小时开始头昏头痛恶心,继而烦躁说胡话两小时。检查:躁动不合作,神志恍惚,四肢厥冷,血压50～70/0,心律快而不齐,心音低钝。当即在心电监护下进行抢救,先后给予利多卡因、普鲁卡因酰胺、奎尼丁等药物,并采用镇静、升压、给氧等措施,均未能终止心动过速的发作。当晚9时30分电击复律两次,分别用200焦耳和250焦耳,仅能短暂地转复为窦性心律,随即心动过速又发
Clinical data and ECG patients Male, 65 years old, farmer. October 27, 1977 at 5 o’clock in the afternoon for the treatment of chronic low back pain, drink medicated homemade medicine (unknown ingredients) about 50 ~ 100ml. About half an hour after drinking started dizzy headache nausea, and then irritable nonsense two hours. Check: restless uncooperative, trance, limbs Jueleng, blood pressure 50 ~ 70/0, fast and irregular heart rhythm, low heart sound blunt. Immediately under the ECG for rescue, has given lidocaine, procainamide, quinidine and other drugs, and the use of sedation, booster, oxygen and other measures, failed to terminate the onset of tachycardia. Electric shock at 9:30 that night twice cardioversion, respectively, with 200 joules and 250 joules, can only be briefly converted to sinus rhythm, followed by rapid tachycardia