Christiaens F, Lessire H, Dellers I, Denis B, Vankeerberghen L, Verborgh C
Department of Critical Care, University Hospital, Vrije Universiteit Brussel, Brussels, Belgium.
Eur J Emerg Med. 2000 Sep;7(3):229-36. doi: 10.1097/00063110-200009000-00011.
We report the case of a patient who co-ingested a tricyclic antidepressant (amitriptyline), benzodiazepines (alprazolam and lormetazepam) and a neuroleptic drug (prothipendyl). Major neurologic and cardiac symptoms occurred including a prolonged cardiac arrest. The cardiopulmonary resuscitation phase was complicated by a haematoma of the liver treated by a left hepatectomy. The clinical features and management of this combined intoxication are discussed.
我们报告了一例同时摄入三环类抗抑郁药（阿米替林）、苯二氮䓬类药物（阿普唑仑和氯美扎酮）及抗精神病药物（丙酰奋乃静）的患者。出现了严重的神经和心脏症状，包括长时间心脏骤停。心肺复苏阶段因肝血肿而复杂化，最终通过左肝切除术进行治疗。本文讨论了这种混合中毒的临床特征及处理方法。
