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男患,44岁。于1988年12月29日16时饮酒后,突然感到头晕、心悸、四肢无力,呕吐一次,血压10/8kPa,心界不大,心率205次/分,节律不规整,心音强弱不等,心电图疑似阵发性塞性心动过速。急诊给予利多卡因100mg 静注后无效,再次静注50mg 后,给予10%葡萄糖500ml 加利多卡因400mg 静滴。心率达280次/分(心电图测得),再次描记心电图,诊为预激综合征伴房颤。给予25%葡萄糖20ml 加普鲁卡因酰胺100mg 缓慢静注,10分钟1次,共用5次仍未转复.又给予10%葡萄糖500ml加普鲁卡因酰胺500mg 静滴,2小时仍未转复。改用慢心律0.1g 加25%葡萄糖20ml 缓慢静注,15分钟一次,共用3次无效。改用乙胺碘呋酮50mg 加25%
Male suffering, 44 years old. At 12:00 on December 29, 1988 after drinking, I suddenly felt dizzy, palpitations, limb weakness, vomiting, blood pressure 10 / 8kPa, heart is not heart rate 205 beats / min, irregular rhythm, heart sound intensity range, Electrocardiogram suspected paroxysmal tachycardia. Emergency given lidocaine 100mg invalid after intravenous injection of 50mg again, given 10% glucose 500ml lidocaine 400mg intravenous infusion. Heart rate of 280 beats / min (ECG measured), electrocardiogram traced again, diagnosed with WPW syndrome with atrial fibrillation. Given 25% glucose 20mg plus procaine hydrochloride 100mg slowly intravenously, 10 minutes 1 times, sharing 5 times has not yet resumed.And given 10% glucose 500mg plus procaine 500mg intravenous infusion, 2 hours still not turn complex. Switch to slow heart rate 0.1g plus 25% glucose 20ml slow intravenous injection, 15 minutes time, sharing 3 times invalid. Use amiodarone 50mg plus 25%