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本组四例均为男性。年龄20～28岁,在清理倒塌的粪池底部2小时后,先后发病来我院急诊,均以“沼气中毒心律失常”收入内科。早期均有头晕、恶心,吐为胃内容物,呼吸困难,心悸。其中1例意识朦胧,血压降至11/8kPa。实验室检查:血、尿、便常规、生化及心肌三酶均正常。B超、胸透无改变。心电:前2例表现为“窦性心动过速,心律分别为140次/分和160次/分”;后2例心电分别为“心房纤颤,房率为500次/分,室率为150次/分”和“多发性室性期前收缩,室律为140次/分”。
The four cases are male. Aged 20 to 28 years old, in the clean-up after the collapse of the bottom of the septic tank 2 hours, has come to our hospital emergency department, are “biogas poisoning arrhythmia” income medical. Early are dizzy, nausea, vomiting stomach contents, difficulty breathing, heart palpitations. One of them was obscure and the blood pressure dropped to 11 / 8kPa. Laboratory tests: blood, urine, they are routine, biochemical and myocardial enzymes were normal. B-ultrasound, no change in chest X-ray. ECG: The first two cases showed “sinus tachycardia, heart rate was 140 beats / min and 160 beats / min”; after 2 cases of ECG were “atrial fibrillation, room rate was 500 beats / min, room Rate of 150 beats / min ”and“ multiple ventricular premature contractions, ventricular rate of 140 beats / min. ”