女,77岁。煤气火焰烧伤2h 入院。病人意识清楚,气喘,声音轻度嘶哑,头发、眉毛、鼻毛均烧焦,头面、颈前、胸上部、双手、双足烧伤。心率48次/分,心电图检查:P 波和 Q尺 S 发波群脱离。既往有头晕史。诊断:①头面、颈胸、双手、双足煤气火焰烧伤20%深Ⅱ度;②轻度吸入性损伤;③冠心病第三度房室传导阻滞。入院后清创以碘伏油纱包扎,适量补液,静脉滴注抗生素,吸氧,行营养支持疗法。伤后2天创面行半暴露,伤后5天创面换药时,突然出现四肢抽搐、口唇及面发绀,大动脉搏动消失,呼吸呈叹息状,即刻在心前区拳击2次,胸外按摩,约10秒钟后心跳恢复,心率40次/分,呼吸24次/分,诊断为冠心病第三度房室传导阻滞并发阿斯综合征,遂给予吸 Female, 77 years old. Gas flame burns 2h admission. Patient awareness, asthma, mild hoarseness, hair, eyebrows, nose hair are scorched, head, neck, chest, hands, feet burn. Heart rate 48 beats / min, ECG: P wave and Q foot S wave group off. Past history of dizziness. Diagnosis: ① head, neck and chest, hands, foot gas flame burns 20% deep Ⅱ; ② mild inhalation injury; ③ third degree of coronary heart disease atrioventricular block. After admission, debridement with iodized oil gauze dressing, appropriate rehydration, intravenous infusion of antibiotics, oxygen, line nutrition support therapy. 2 days after injury, the wounds were exposed halfway. After wound dressing was changed for 5 days, the limbs were convulsions, the lips and face were cyanotic. The aortic pulsation disappeared and the breath was sighing. 10 seconds after the heartbeat recovery, heart rate 40 beats / min, breathing 24 beats / min, diagnosis of coronary heart disease with third-degree AV block complicated by Asperger syndrome, then give suction