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[1例采用体外循环抢救的乌头碱中毒病例]

[A case of aconitine poisoning saved with cardiopulmonary bypass].

作者信息

Ohuchi S, Izumoto H, Kamata J, Kawase T, Ishibashi K, Eishi K, Kawazoe K

机构信息

Iwate Medical University Memorial Heart Center, Morioka, Japan.

出版信息

Kyobu Geka. 2000 Jul;53(7):541-4.

Abstract

"Torikabuto" is a kind of plant which contains deadly poison. Its ingredient is aconitine alkaloids. We report a case of aconitine poisoning with fatal arrhythmia and acute pulmonary edema who was saved with cardio pulmonary bypass. A 41-year-old male ate to mistake "Torikabuto" for wild plant. He developed symptoms of dysarthria and admitted to our hospital. He developed ventricular tachycardia and fibrillation soon after his admission. Then he developed cardiogenic shock. He was resuscitated and supported with a percutaneous cardio pulmonary bypass. Ventricular tachycardia disappeared 24 hours after admittion. About 1 week later, cardio pulmonary bypass was terminated and about 3 months later, he discharged from our hospital.

摘要

“鸟兜”是一种含有致命毒素的植物。其成分是乌头生物碱。我们报告一例因乌头碱中毒导致致命性心律失常和急性肺水肿并通过体外循环抢救成功的病例。一名41岁男性误将“鸟兜”当作野生植物食用。他出现构音障碍症状并入住我院。入院后不久他就出现了室性心动过速和心室颤动。随后发展为心源性休克。通过经皮体外循环对他进行了复苏和支持治疗。入院24小时后室性心动过速消失。大约1周后,体外循环结束,大约3个月后,他出院。

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