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惊吓！左冠第1幅造影就室颤！用了20多支肾上腺素才抢救回来

2023-10-21 DrKing道金医学 DrKing道金医学 发表于上海

室颤血流中断
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患者老年女性，因近1周反复胸痛入院。乳腺癌术后史，乘轮椅被送入导管室，步行上台。

室颤、血流中断

病例资料

患者老年女性，因近1周反复胸痛入院。乳腺癌术后史，乘轮椅被送入导管室，步行上台。

冠脉造影

桡动脉穿刺顺利，左冠脉第1幅造影时呈心搏骤停状态，紧接着阿-斯综合征发作，抢救！

造影可见前降支、回旋支内大量造影剂滞留，血流中断。

图片

抢救过程中还进行了右冠脉造影，发现右冠脉是好的。

图片

抢救20分钟左冠脉血流才逐渐恢复。抢救过程中用了20多支肾上腺素。

图片

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2164302, encodeId=ce512164302ee, content=想说什么呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/b39c8bc0ab334969ba4ccc08e7a6cd94/c4e41798ef27449aa31ad740c9b13062.jpg, createdBy=5ff35133022, createdName=forvalen, createdTime=Mon Oct 23 07:56:03 CST 2023, time=2023-10-23, status=1, ipAttribution=陕西省), GetPortalCommentsPageByObjectIdResponse(id=2164322, encodeId=bce02164322ee, content=学习了 优秀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6de91548468, createdName=qingbao2004, createdTime=Mon Oct 23 08:59:15 CST 2023, time=2023-10-23, status=1, ipAttribution=山东省), GetPortalCommentsPageByObjectIdResponse(id=2164208, encodeId=bacd2164208bc, content=后脊背发冷啊，不容易, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/B6ghibp4ts3lcejpFAk878AO6eHyqZ1GdZ2NEZD59V4pL2TnyPBwRqMgQ25ek2vOojv5q1gOdI928TdVTv4Yeyg/0, createdBy=d4122076703, createdName=1841f14836m, createdTime=Sun Oct 22 15:34:38 CST 2023, time=2023-10-22, status=1, ipAttribution=河南省), GetPortalCommentsPageByObjectIdResponse(id=2164128, encodeId=eff7216412805, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Sat Oct 21 22:30:03 CST 2023, time=2023-10-21, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2164153, encodeId=f8e22164153a3, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=940a5479132, createdName=ms2000000702445417, createdTime=Sun Oct 22 05:20:29 CST 2023, time=2023-10-22, status=1, ipAttribution=湖南省)]
    2023-10-23 forvalen 来自陕西省

    想说什么呀

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2164302, encodeId=ce512164302ee, content=想说什么呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/b39c8bc0ab334969ba4ccc08e7a6cd94/c4e41798ef27449aa31ad740c9b13062.jpg, createdBy=5ff35133022, createdName=forvalen, createdTime=Mon Oct 23 07:56:03 CST 2023, time=2023-10-23, status=1, ipAttribution=陕西省), GetPortalCommentsPageByObjectIdResponse(id=2164322, encodeId=bce02164322ee, content=学习了 优秀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6de91548468, createdName=qingbao2004, createdTime=Mon Oct 23 08:59:15 CST 2023, time=2023-10-23, status=1, ipAttribution=山东省), GetPortalCommentsPageByObjectIdResponse(id=2164208, encodeId=bacd2164208bc, content=后脊背发冷啊，不容易, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/B6ghibp4ts3lcejpFAk878AO6eHyqZ1GdZ2NEZD59V4pL2TnyPBwRqMgQ25ek2vOojv5q1gOdI928TdVTv4Yeyg/0, createdBy=d4122076703, createdName=1841f14836m, createdTime=Sun Oct 22 15:34:38 CST 2023, time=2023-10-22, status=1, ipAttribution=河南省), GetPortalCommentsPageByObjectIdResponse(id=2164128, encodeId=eff7216412805, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Sat Oct 21 22:30:03 CST 2023, time=2023-10-21, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2164153, encodeId=f8e22164153a3, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=940a5479132, createdName=ms2000000702445417, createdTime=Sun Oct 22 05:20:29 CST 2023, time=2023-10-22, status=1, ipAttribution=湖南省)]
    2023-10-23 qingbao2004 来自山东省

    学习了 优秀

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2164302, encodeId=ce512164302ee, content=想说什么呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/b39c8bc0ab334969ba4ccc08e7a6cd94/c4e41798ef27449aa31ad740c9b13062.jpg, createdBy=5ff35133022, createdName=forvalen, createdTime=Mon Oct 23 07:56:03 CST 2023, time=2023-10-23, status=1, ipAttribution=陕西省), GetPortalCommentsPageByObjectIdResponse(id=2164322, encodeId=bce02164322ee, content=学习了 优秀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6de91548468, createdName=qingbao2004, createdTime=Mon Oct 23 08:59:15 CST 2023, time=2023-10-23, status=1, ipAttribution=山东省), GetPortalCommentsPageByObjectIdResponse(id=2164208, encodeId=bacd2164208bc, content=后脊背发冷啊，不容易, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/B6ghibp4ts3lcejpFAk878AO6eHyqZ1GdZ2NEZD59V4pL2TnyPBwRqMgQ25ek2vOojv5q1gOdI928TdVTv4Yeyg/0, createdBy=d4122076703, createdName=1841f14836m, createdTime=Sun Oct 22 15:34:38 CST 2023, time=2023-10-22, status=1, ipAttribution=河南省), GetPortalCommentsPageByObjectIdResponse(id=2164128, encodeId=eff7216412805, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Sat Oct 21 22:30:03 CST 2023, time=2023-10-21, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2164153, encodeId=f8e22164153a3, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=940a5479132, createdName=ms2000000702445417, createdTime=Sun Oct 22 05:20:29 CST 2023, time=2023-10-22, status=1, ipAttribution=湖南省)]
    2023-10-22 1841f14836m 来自河南省

    后脊背发冷啊，不容易

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2164302, encodeId=ce512164302ee, content=想说什么呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/b39c8bc0ab334969ba4ccc08e7a6cd94/c4e41798ef27449aa31ad740c9b13062.jpg, createdBy=5ff35133022, createdName=forvalen, createdTime=Mon Oct 23 07:56:03 CST 2023, time=2023-10-23, status=1, ipAttribution=陕西省), GetPortalCommentsPageByObjectIdResponse(id=2164322, encodeId=bce02164322ee, content=学习了 优秀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6de91548468, createdName=qingbao2004, createdTime=Mon Oct 23 08:59:15 CST 2023, time=2023-10-23, status=1, ipAttribution=山东省), GetPortalCommentsPageByObjectIdResponse(id=2164208, encodeId=bacd2164208bc, content=后脊背发冷啊，不容易, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/B6ghibp4ts3lcejpFAk878AO6eHyqZ1GdZ2NEZD59V4pL2TnyPBwRqMgQ25ek2vOojv5q1gOdI928TdVTv4Yeyg/0, createdBy=d4122076703, createdName=1841f14836m, createdTime=Sun Oct 22 15:34:38 CST 2023, time=2023-10-22, status=1, ipAttribution=河南省), GetPortalCommentsPageByObjectIdResponse(id=2164128, encodeId=eff7216412805, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Sat Oct 21 22:30:03 CST 2023, time=2023-10-21, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2164153, encodeId=f8e22164153a3, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=940a5479132, createdName=ms2000000702445417, createdTime=Sun Oct 22 05:20:29 CST 2023, time=2023-10-22, status=1, ipAttribution=湖南省)]
    2023-10-21 屋顶瞄爱赏月 来自贵州省

    签到学习

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2164302, encodeId=ce512164302ee, content=想说什么呀, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210512/b39c8bc0ab334969ba4ccc08e7a6cd94/c4e41798ef27449aa31ad740c9b13062.jpg, createdBy=5ff35133022, createdName=forvalen, createdTime=Mon Oct 23 07:56:03 CST 2023, time=2023-10-23, status=1, ipAttribution=陕西省), GetPortalCommentsPageByObjectIdResponse(id=2164322, encodeId=bce02164322ee, content=学习了 优秀, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6de91548468, createdName=qingbao2004, createdTime=Mon Oct 23 08:59:15 CST 2023, time=2023-10-23, status=1, ipAttribution=山东省), GetPortalCommentsPageByObjectIdResponse(id=2164208, encodeId=bacd2164208bc, content=后脊背发冷啊，不容易, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/B6ghibp4ts3lcejpFAk878AO6eHyqZ1GdZ2NEZD59V4pL2TnyPBwRqMgQ25ek2vOojv5q1gOdI928TdVTv4Yeyg/0, createdBy=d4122076703, createdName=1841f14836m, createdTime=Sun Oct 22 15:34:38 CST 2023, time=2023-10-22, status=1, ipAttribution=河南省), GetPortalCommentsPageByObjectIdResponse(id=2164128, encodeId=eff7216412805, content=签到学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211111/81c0b64745c644319545ec26d7ef0b34/9ddb2864d5df4dd9bf4305e380bffc96.jpg, createdBy=c7835705079, createdName=屋顶瞄爱赏月, createdTime=Sat Oct 21 22:30:03 CST 2023, time=2023-10-21, status=1, ipAttribution=贵州省), GetPortalCommentsPageByObjectIdResponse(id=2164153, encodeId=f8e22164153a3, content=学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=940a5479132, createdName=ms2000000702445417, createdTime=Sun Oct 22 05:20:29 CST 2023, time=2023-10-22, status=1, ipAttribution=湖南省)]
    2023-10-22 ms2000000702445417 来自湖南省

    学习学习

    0

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