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庞××,男,44岁,已婚,农民,住院号812071,1981年5月1日晚9时零2分入院。4月28日患者因“胸痛”,咳嗽在当地医院拟诊为“肺部感染”,经治疗无好转,后又出现上腹部阵发性疼痛,痛时大汗淋漓,每次发作数分钟后自然缓解。曾两次诊断为“胆道蛔虫症”,经服解癌药及驱虫药等未见好转,疼痛逐渐加重并呈持续性。于5月1日下午7时10分到我院急诊。7时30分在候诊厅突然倒地,抽搐,呕吐。检查患者呈抽泣样呼吸,脉搏触不到,心音听不到,后呼吸完全停止,瞳孔对光反射消失。立即进行心外按压及人工呼吸。7时40分心电图检查证实为心室纤颤(见图1A)。7时50分气管插管接简易呼吸器,心内注射肾上腺
Pang × ×, male, 44 years old, married, farmer, hospital number 812071, May 1, 1981 at 09:02 pm on the 1st admission. April 28 patients due to “chest pain,” cough in the local hospital to be diagnosed as “lung infection”, after treatment did not improve, and then appeared in the upper abdomen paroxysmal pain, sweating pain sweating, each episode after a few minutes Naturally relieved. Had twice diagnosed as “biliary ascariasis”, after serving anti-cancer drugs and deworming drugs did not improve, the pain gradually increased and was persistent. At 7:10 on May 1 to our hospital emergency room. At 0730 hours the waiting room suddenly fell to the ground, twitching and vomiting. Check the patient was sobbed breathing, pulse can not touch, heart sound can not hear, stop breathing completely, pupil light reflex disappears. Immediate cardiac pressure and artificial respiration. 7:40 ECG confirmed ventricular fibrillation (see Figure 1A). 7:50 endotracheal tube connected to simple respirator, adrenal injection of the heart