论文部分内容阅读
患者男,62岁。因饮酒后突然心慌、气短、胸闷,出大汗,从床上摔下,当地医院经心电图检查诊为再发性心肌梗塞并室速,给予极化液,吸氧、扩张冠脉,能量合剂及控制室速等治疗,治疗18天无效而急转我院。14年前曾患急性心肌梗塞好转。查体:体温36.7℃,脉搏160次,呼吸28次,血压70/30。神清,烦躁、唇绀,多汗。心率160次,律整,心音极弱,心尖区可闻及Ⅱ级收缩期杂音。双肺呼吸音粗糙,四肢末梢冰冷,皮肤明显紫绀。心电图
Male patient, 62 years old. Because of alcohol after a sudden palpitation, shortness of breath, chest tightness, out of sweat, fell from the bed, the local hospital diagnosed by recurrent myocardial infarction and ventricular tachycardia ECG, given polarized fluid, oxygen, coronary artery expansion, energy mixture and Control room speed and other treatment, treatment and invalid 18 days in our hospital. 14 years ago, suffering from acute myocardial infarction improved. Physical examination: body temperature 36.7 ℃, pulse 160 times, breathing 28 times, blood pressure 70/30. Shen Qing, irritability, cyanosis, hyperhidrosis. Heart rate 160 times, law, heart sounds very weak, apex area can be heard and Ⅱ systolic murmur. Breathe sound rough lungs, limbs cold, clear skin cyanosis. Electrocardiogram