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致命性氯喹中毒所致昏迷的脑电图表现

Electroencephalographic findings in coma caused by fatal chloroquine poisoning.

作者信息

Martinović Z, Sasić M

机构信息

Department of Neurology and Psychiatry for Children and Youth, Medical Faculty of the University, Belgrade.

出版信息

Neurologija. 1990;39(4):299-304.

PMID:2290474
Abstract

A 19-year-old patient in deep anoxic coma after cardiopulmonary arrest due to suicidal acute overdosage of chloroquine was resuscitated at the intensive care unit. An EEG starting about 12 hours later and lasting for 93 minutes showed a rapid succession of diffuse ectopic rhythms, diffuse slow output, generalized periodic slow waves in paroxysmal episodes which preceded burst suppression patterns and definite establishment of electrocerebral silence. All these EEG patterns indicating a poor prognosis were registered about three hours before the patient died during irreversible ventricular fibrillation.

摘要

一名19岁患者因自杀性急性过量服用氯喹导致心肺骤停后陷入深度缺氧昏迷,在重症监护病房接受了复苏治疗。大约12小时后开始并持续93分钟的脑电图显示,弥漫性异位节律迅速连续出现,弥漫性慢波输出,阵发性发作时出现全身性周期性慢波,随后出现爆发抑制模式并确定脑电静息。所有这些提示预后不良的脑电图模式均在患者死于不可逆室颤前三小时被记录到。

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