Zhu Y, Zhang X
Nanjing Neuropsychiatric Hospital, Jiangsu.
Zhonghua Shen Jing Jing Shen Ke Za Zhi. 1992 Feb;25(1):13-5, 60.
20 cases of amitriptyline poisoning have been reported. The main symptoms were come in different degrees, pupil dilatation, tachycardia, retention of urine. Raising of blood pressure and subnormality of body temperature appeared in part of patients. There were convulsive attacks in some severe patients. EKG were abnormal in half of patients. Besides gastric lavage and acceleration of excretion, using of physostigmine was one of the important reused steps, it often was the determinate factor to get success. Convulsive attack was the main dangerous to death. Some discussions have been made about relative problems.
已报告20例阿米替林中毒病例。主要症状有不同程度的出现,瞳孔散大、心动过速、尿潴留。部分患者出现血压升高和体温过低。一些重症患者有惊厥发作。一半的患者心电图异常。除洗胃和加速排泄外,使用毒扁豆碱是重要的救治措施之一,它常常是救治成功的决定性因素。惊厥发作是致死的主要危险因素。已对相关问题进行了一些讨论。