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[严重抗组胺药中毒并发室性心动过速]

[Severe antihistamine poisoning complicated by ventricular tachycardia].

作者信息

Bastecký J, Kvasnicka J, Vortel J, Tauchman M, Wasylivová V

机构信息

I. interní klinika, Fakultní nemocnice--KUNZ, Hradec Králové.

出版信息

Vnitr Lek. 1990 Mar;36(3):266-9.

PMID:1972306
Abstract

A 26-year-old female clerk without previous heart disease ingested with suicidal intensions antihistaminic drugs--H1 blockers, astemizole (a total of 700 mg) and terfenadine (a total of 900-1200 mg). The main sign of intoxication was repeated polymorphous ventricular tachycardia type torsade de pointes, which at the onset of hospitalization changed into ventricular fibrillation. Therapeutically the impaired rhythm was controlled by electric cardioversion and atrial stimulation with a frequency of 120/min. On the third day it was possible to discontinue atrial stimulation and later the patient was discharged without any permanent sequelae.

摘要

一名26岁、既往无心脏病史的女性职员出于自杀意图服用了抗组胺药——H1阻滞剂、阿司咪唑(总量700毫克)和特非那定(总量900 - 1200毫克)。中毒的主要体征是反复出现的尖端扭转型多形性室性心动过速,在住院初期转变为心室颤动。治疗上,通过电复律和频率为120次/分钟的心房刺激控制了心律失常。第三天停用了心房刺激,之后患者出院,未留下任何永久性后遗症。

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