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[蓝色视觉作为洋地黄中毒的体征]

[Blue color vision as a sign of digitalis poisoning].

作者信息

Duraković Z, Plavsić F, Smalcelj A, Grgić V

机构信息

Klinika za unutarnje bolesti s poliklinikom, KBC Rebro, Zagrebu.

出版信息

Lijec Vjesn. 1992 May-Aug;114(5-8):132-4.

PMID:1343044
Abstract

The paper deals with the course of the illness in a 66 years old male, who had taken an amount of 0.2 mg of medigoxin for an unknown period of time, because of chronic heart failure due to atherosclerotic heart disease and chronic atrial fibrillation. He have had a cholelithiasis also and reduced renal reserve. He was admitted by an emergency admittance because of nausea, vomiting, color vision disturbances: blue colored vision, and with other signs of digitalis toxicity: diffuse abdominal pain, an absolute arrhythmia with a slow ventricular rate, and with a short corrected Q-T interval in an electrocardiogram of 0.315 seconds and with high serum digoxin level reacted 3.8 nmol/L. After stopping of a digitalis treatment, in a period of time of four days, all signs of digitalis toxicity including blue color vision disturbances disappeared. In the paper that rare sign of digitalis toxicity is discussed.

摘要

本文讲述了一名66岁男性的病程。该男性因动脉粥样硬化性心脏病和慢性心房颤动导致慢性心力衰竭,在不明时间段内服用了0.2毫克地高辛。他还患有胆结石且肾储备功能下降。因恶心、呕吐、色觉障碍(蓝色视觉)以及其他洋地黄中毒症状(弥漫性腹痛、心室率缓慢的绝对心律失常、心电图校正QT间期缩短至0.315秒且血清地高辛水平升高至3.8纳摩尔/升),他通过急诊入院。停用洋地黄治疗后,在四天时间内,包括蓝色视觉障碍在内的所有洋地黄中毒症状均消失。本文讨论了这种罕见的洋地黄中毒症状。

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