Watson N A, FitzGerald C P
Accident and Emergency Department, Mater Misericordiae Hospital, Brisbane, QLD.
Med J Aust. 1991 Jul 15;155(2):124-5. doi: 10.5694/j.1326-5377.1991.tb142148.x.
A 53-year-old man presented to hospital after an overdose (4.8 g) of verapamil. He developed profound bradycardia and hypotension, requiring treatment with calcium salts, dobutamine, isoprenaline and cardiac pacing. As calcium channel blockers are more widely used, self-poisoning will become more common. The effects, although serious, are self-limiting and recovery within 48 hours is the rule provided adequate support is given.
一名53岁男性在过量服用(4.8克)维拉帕米后被送往医院。他出现了严重的心动过缓和低血压,需要用钙盐、多巴酚丁胺、异丙肾上腺素和心脏起搏进行治疗。随着钙通道阻滞剂的使用越来越广泛,自我中毒将变得更加常见。其影响虽然严重,但具有自限性,只要给予足够的支持,通常会在48小时内康复。