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.
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.
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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