Bak Marek, Bernas Szymon, Sliwkiewicz Konrad, Winnicka Renata, Kołaciński Zbigniew, Krakowiak Anna
Oddzial Toksykologii, Klinika Chorób Zawodowych i Toksykologii, Instytut Medycyny Pracy w Łodzi.
Przegl Lek. 2012;69(3):125-7.
We present case a male patient who attempted suicide by ingestion of 90 tablets of digoxin in total dose of 22.5 mg. A measured peak level of digoxin was 6,75 ng/ml. Temporary invasive cardiac pacing with single chamber ventricular pacer was performed for treatment of the life-threatening rhythm and conduction disturbances that revealed within few hours after admission. According to the authors, presented method of therapy should always be taken into consideration in case development of cardiovascular disturbances in acute poisoning with digoxin.
我们报告一例男性患者,该患者吞服了90片地高辛,总剂量为22.5毫克,试图自杀。测得的地高辛峰值水平为6.75纳克/毫升。入院后数小时内出现危及生命的节律和传导紊乱,遂采用单腔心室起搏器进行临时有创心脏起搏治疗。据作者称,在洋地黄急性中毒并发心血管紊乱时,应始终考虑采用本治疗方法。