Recovery of cardiac arrest in two cases of successful treatment of.docVIP

 PAGE \* MERGEFORMAT 8 Recovery of cardiac arrest in two cases of successful treatment of [Keywords:] recovery of cardiac arrest 1 Case Information Patients, female, 68 years old, home. Had suffered from intermittent chest tightness, shortness of breath for 2 years and increased with sternum Mentong 1 week after admission. Examination: heart circles slightly larger, heart rate 40 times / min, law Qi, a low heart sound blunt, chest X-ray showing the heart to both sides of the slightly increased. ECG showed sinus rhythm Ⅲ ° atrioventricular block. Echocardiography showed the main arteriosclerosis, regional wall motion disorders, reduced left ventricular diastolic function. Laboratory tests: blood glucose 10.9mmol / L, liver and kidney functions were normal. At 19 o’clock that night a sudden cardiac arrest occurs, A - Sri Lanka syndrome, ECG ECG showed stationary or ventricular fibrillation, immediately straight-line chest cardiac massage, continuous oxygen 4 ~ 5L/min, rapidly connect electric defibrillator , intravenous nikethamide 0.75g, epinephrine 1mg, atropine 1mg, amiodarone 150mg plus 20ml normal saline bolus, respectively, metaraminol, dopamine infusion, 150J defibrillation shock energy two times, the immediate resumption of sinus rhythm, ECG continued to 30s, and into a straight line, ventricular fibrillation appears to give 200J defibrillation a time, there sinus tachycardia, breathing 30 times / min, blood pressure 180/100mmHg, heart rate 100 beats / min, then given amiodarone 150mg static point, but the patient disorientation, pale coma, bilateral pupil moderate scattered large, light reflex weakened, given 20% mannitol 120ml bolus, 5% sodium bicarbonate 40ml , dexamethasone 5mg bolus, respectively, after 4h to save the patient becoming conscious, questioning can correctly answer, verbal fluency, urine output to normal, after 2 weeks of treatment, ECG showed sinus rhythm, the next lateral T-wave low-lying, discharged . Patients, female, 66 years