氨氯地平过量后出现非心源性肺水肿，无顽固性低血压和心动过缓。
Noncardiogenic Pulmonary Edema after Amlodipine Overdose without Refractory Hypotension and Bradycardia.
作者信息
Hedaiaty M, Eizadi-Mood N, Sabzghabaee A M
机构信息
Clinical Toxicology Department, Isfahan Clinical Toxicology Research Center, Noor Hospital, Isfahan University of Medical Sciences, Isfahan 81458-31451, Iran.
出版信息
Case Rep Emerg Med. 2015;2015:546012. doi: 10.1155/2015/546012. Epub 2015 May 5.
Abstract
Amlodipine overdose can be life-threatening when manifesting as noncardiogenic pulmonary edema. Treatment remains challenging. We describe a case of noncardiogenic pulmonary edema without refractory hypotension and bradycardia after ingestion of 500 milligram amlodipine with suicidal intent. Mechanical ventilation, dexamethasone, atrovent HFA (ipratropium), pulmicort inhalation, and antibiotic therapy were used for the management. Length of hospital stay was 11 days. The patient was discharged with full recovery.
摘要
氨氯地平过量表现为非心源性肺水肿时可能危及生命。治疗仍然具有挑战性。我们描述了一例在有自杀意图服用500毫克氨氯地平后出现非心源性肺水肿但无难治性低血压和心动过缓的病例。采用机械通气、地塞米松、爱全乐（异丙托溴铵）、普米克吸入及抗生素治疗进行处理。住院时间为11天。患者康复出院。
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