Shenzhen man in distress after drinking "medicinal liquor"

　　Doctors from the Eighth Hospital of CUHK join forces to pull the man out of the "ghost gate"

　　Guangzhou Daily (all-media reporter Liu Chang, correspondent Yi Xuan) On the sixth day of the Lunar New Year, everyone is still immersed in the celebration of the new year.

A middle-aged man in Shenzhen invited two good friends and couples, ready to celebrate, and then took out the long-cherished "medicine liquor" at home for a drink.

Unexpectedly, a glass of wine took him directly to the hospital.

　　A glass of wine caused an electrical storm in the heart

　　At that time, as the host, the man poured himself a whole glass and drank it all in one go.

The friends and the couple don't know how to drink, and they take a sip.

Unexpectedly, the three people felt numb and dizzy after drinking for less than 10 minutes.

The host had more serious symptoms due to drinking more, and showed symptoms of chest tightness, chest pain, abdominal pain and vomiting, and gradually developed dizziness, confusion, and fever throughout the body.

My friends and my wife felt that something was not good, so they hurriedly took them to the emergency department of the Eighth Hospital of Sun Yat-sen University.

　　The triage nurse in the emergency department was taken aback when he saw the man: his skin was flushed, he was confused, and was irritable.

Dr. Lin Hairong and the nurse hurriedly placed the man on the bed in the rescue room, inhaled oxygen, monitored the ECG, and established venous access.

The electrocardiogram showed that the heartbeat was extremely irregular, showing a wide deformed QRS wave, with a heart rate of up to 230 beats per minute, which was rapid, pleomorphic, and torsade de pointes.

This is a very malignant electrocardiogram. It may be an electrical storm caused by the drug to stimulate the heart. It may change to ventricular fibrillation at any time, and the heartbeat stops. It must be rescued immediately.

　　Multiple doctors worked together successfully to rescue

　　The chief resident Zhao Youheng immediately called the deputy chief physician Min Min of the Department of Cardiology and Wu Haidong, deputy chief physician of the Emergency Department, to come for rescue.

The external defibrillator was activated and the patient was given electrical cardioversion.

But after three consecutive discharges, the heartbeat has not been able to return to normal sinus rhythm.

After using various antiarrhythmic drugs such as lidocaine, verapamil, magnesium sulfate, esmolol, atropine, etc., the patient's heartbeat is still as high as 230 beats/min, and the electrical storm of the heart is still whizzing.

　　Deputy Chief Physician Wu Haidong took precautions and connected the patient with adhesive defibrillation and pacing electrodes. If the patient develops ventricular fibrillation, he can defibrillate immediately.

At the same time, this set of defibrillator electrode devices can also perform percutaneous overspeed pacing.

After Wu Haidong performed multiple overspeed pacing for the patient, although he could control the heart rhythm, the man’s heartbeat returned to about 230 beats/min after stopping the pacing.

The patient's consciousness is getting worse and his breathing is irregular.

The most worrying thing happened, torsade de pointes ventricular tachycardia still transformed into ventricular fibrillation, and the aortic pulsation disappeared!

　　The already connected adhesive defibrillation pacing electrodes have played a very important role, analyzing heart rhythm, charging, personnel leaving, and discharging in one go.

Immediately press with a heart chest compression machine... Several back and forth, ventricular fibrillation was controlled for a time, but it still recurred.

　　You must be transferred to the ICU for hemodialysis as soon as possible to get toxins out of the body, otherwise the patient's heartbeat may stop again at any time.

During the transfer, the patient once again experienced cardiac arrest and ventricular fibrillation.

Fortunately, there was a heart press and a defibrillator. After a bolus of epinephrine, lidocaine intravenous injection and other rescues, the heartbeat recovered.

　　After being transferred to the ICU, the attending doctor Lin Zhigang and Dr. Lu Zhanpeng quickly placed a deep vein catheter for the patient and connected the hemodialysis machine for hemodialysis.

Professor Wang Tong, the deputy dean of the Eighth Hospital of CUHK, the director of the emergency department and the leader of the subject, who has extensive rescue experience, also came to direct the rescue.

After active rescue, the patient's heart rate finally slowed down, the QRS complex of wide deformity gradually narrowed, showing signs of improvement.

Two days later, the man's vital signs gradually stabilized, his consciousness cleared, and he gradually escaped danger.

At the same time, the other couple had milder symptoms. After being hospitalized in the general ward, various physical indicators slowly returned to normal.

　　After asking the patient’s family and friends, it turned out that the medicinal wine that the man drank was originally for external use. It contained aconitum and other very toxic traditional Chinese medicines, which could not be used for oral administration.

On a whim, the man mistakenly drank it as a "tonic".