Senthilkumaran Subramanian, Meenakshisundaram Ramachandran, Michaels Andrew D, Thirumalaikolundusubramanian Ponniah
Sri Gokulam Hospitals and Research Institute, Salem, India.
J Electrocardiol. 2011 Jul-Aug;44(4):470-2. doi: 10.1016/j.jelectrocard.2010.12.002. Epub 2011 Mar 12.
Inhalational oleander toxicity was considered in a family of 4 by history of exposure to smoke from burning oleander twigs. Electrocardiography revealed first- and second-degree atrioventricular block with digoxin-like ST-T-wave changes, suggestive of oleander toxicity in the absence of exposure to digoxin or other herbal medicines, and without systemic illness. Complete blood count, biometabolic profile, chest x-ray, and echocardiography did not reveal any abnormalities. Electrocardiographies normalized within 4 days when kept away from offending agents. Because oleander plant materials are used for burning, people are exposed to inhalational oleander toxicity. Hence, practitioners shall consider such poisonings in them.
通过接触燃烧夹竹桃嫩枝产生的烟雾史，一家四口被考虑存在吸入性夹竹桃中毒。心电图显示一度和二度房室传导阻滞以及类似地高辛的ST-T波改变，在未接触地高辛或其他草药且无全身性疾病的情况下提示夹竹桃中毒。全血细胞计数、生物代谢指标、胸部X线和超声心动图均未发现任何异常。远离致病因素后，心电图在4天内恢复正常。由于夹竹桃植物材料被用于燃烧，人们会接触到吸入性夹竹桃中毒。因此，从业者应考虑他们可能发生此类中毒。
