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急性黄花夹竹桃中毒的心脏表现

Cardiac findings in acute yellow oleander poisoning.

作者信息

Zamani Jalal, Aslani Amir

机构信息

Cardiology Department, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Cardiovasc Dis Res. 2010 Jan;1(1):27-8. doi: 10.4103/0975-3583.59982.

DOI:10.4103/0975-3583.59982
PMID:21188087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3004167/
Abstract

BACKGROUND

#ENTITYSTARTX02014; The Yellow Oleander is an ornamental tree that is common throughout the tropics. Ingestion of its seeds results in a clinical picture similar to digoxin toxicity.

OBJECTIVES

#ENTITYSTARTX02014; The aim of this study was to evaluate cardiac findings in acute Yellow Oleander poisoning.

METHODS AND MATERIALS

#ENTITYSTARTX02014; A total of 21 patients with history of Yellow Oleander ingestion were enrolled in this study.

RESULTS

#ENTITYSTARTX02014; All symptomatic patients had conduction defects affecting the sinus node, theatrio-ventricular node or both. Patients showing cardiac arrhythmias that required specific management had significantly higher serum potassium concentrations.

CONCLUSION

#ENTITYSTARTX02014; Most of the symptomatic patients had conduction defects affecting sinus or atrio-ventricular nodes but few had atrial or ventricular arrhythmias typical of digoxin poisoning.

摘要

背景

黄花夹竹桃是一种观赏性树木,在热带地区很常见。摄入其种子会导致与地高辛中毒相似的临床表现。

目的

本研究的目的是评估急性黄花夹竹桃中毒时的心脏表现。

方法和材料

本研究共纳入21例有黄花夹竹桃摄入史的患者。

结果

所有有症状的患者均有影响窦房结、房室结或两者的传导缺陷。出现需要特殊处理的心律失常的患者血清钾浓度显著更高。

结论

大多数有症状的患者有影响窦房结或房室结的传导缺陷,但很少有地高辛中毒典型的房性或室性心律失常。

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本文引用的文献

1
Acute yellow oleander (Thevetia peruviana) poisoning: cardiac arrhythmias, electrolyte disturbances, and serum cardiac glycoside concentrations on presentation to hospital.急性黄花夹竹桃(黄花夹竹桃)中毒:入院时的心律失常、电解质紊乱及血清强心苷浓度
Heart. 2000 Mar;83(3):301-6. doi: 10.1136/heart.83.3.301.
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Management of acute yellow oleander poisoning.急性黄花夹竹桃中毒的处理
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The evolving pattern of digoxin intoxication: observations at a large urban hospital from 1980 to 1988.地高辛中毒的演变模式:1980年至1988年在一家大型城市医院的观察结果
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