Johansen Karina K, Belhage Bo
Bispebjerg Hospital, Anaestesiologisk Afdeling Z.
Ugeskr Laeger. 2007 Nov 19;169(47):4074-5.
We present a case report of survival from a massive verapamil overdose. The patient, a 48-year-old female, was admitted 12 hours after suicidal ingestion of 10.08 grams of Isoptin Retard, a sustained release calcium channel blocker. On admittance, the patient had altered mental status, was hypotensive, and ECG showed bradycardia with nodal rhythm. The patient was treated with activated charcoal, colloids, crystalloids, norepinephrine, isoprenalin and epinephrine infusion, high dose glucose-insulin infusion and calcium. The patient was discharged for rehabilitation after two weeks.
我们报告一例维拉帕米大量过量服用后存活的病例。患者为一名48岁女性，在自杀性摄入10.08克缓释钙通道阻滞剂异搏定缓释片12小时后入院。入院时，患者意识状态改变，血压降低，心电图显示心动过缓伴结性心律。患者接受了活性炭、胶体、晶体、去甲肾上腺素、异丙肾上腺素和肾上腺素输注、高剂量葡萄糖 - 胰岛素输注及钙剂治疗。两周后患者出院进行康复治疗。
