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[硫利达嗪自杀性摄入导致严重心律失常——多形性室性心动过速的原因]

[Suicidal ingestion of thioridazine as a cause of severe impairment of heart rhythm--polymorphic ventricular tachycardia].

作者信息

Bastecký J, Kvasnicka J, Vortel J, Zapletálek M, Hanus M, Kasparová V, Wasylisová V

机构信息

I. interní klinika FN KUNZ, Hradec Králové.

出版信息

Cesk Psychiatr. 1990 Aug;86(4):264-8.

PMID:2245486
Abstract

A 35-year-old female alcohol addicted ingested with suicidal intentions a single dose of 500 mg thioridazine. The course of intoxication was complicated by the development of polymorphous ventricular tachycardia of the torsade de pointes type, about six hours after ingestion. The dysrhythmia was immediately suppressed by stimulation from the right atrium. After 36 hours the stimulation could be abolished. Because of delirium tremens the patient with a normal ECG tracing was returned to the psychiatric clinic.

摘要

一名35岁的女性酒精成瘾者出于自杀意图单次服用了500毫克硫利达嗪。服药后约6小时,中毒过程因出现尖端扭转型多形性室性心动过速而变得复杂。心律失常通过右心房刺激立即得到抑制。36小时后刺激可以取消。由于震颤谵妄,心电图正常的患者被送回精神科诊所。

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