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尼古丁中毒所致的症状性心动过缓。

Symptomatic bradycardia due to nicotine intoxication.

作者信息

Paik Jin Hui, Kang Soo, Durey Areum, Kim Ji Hye, Kim Ah Jin

机构信息

Department of Emergency Medicine, Inha University School of Medicine, Incheon, Republic of Korea.

出版信息

Rev Bras Ter Intensiva. 2018 Mar;30(1):121-126. doi: 10.5935/0103-507x.20180018.

DOI:10.5935/0103-507x.20180018
PMID:29742227
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5885240/
Abstract

Nicotine is a dangerous substance extracted from tobacco leaves. When nicotine is absorbed in excessive amounts, it can lead to respiratory failure and cardiac arrest. The commercialization of electronic cigarettes (e-cigarettes) has allowed users to directly handle e-cigarette liquid. Consequently, the risk of liquid nicotine exposure has increased. We describe our experience of managing the case of a patient who orally ingested a high concentration of liquid nicotine from e-cigarette liquid. The patient presented with bradycardia and hypotension, which are symptoms of parasympathetic stimulation, together with impaired consciousness. He recovered following treatment with atropine and a vasopressor.

摘要

尼古丁是一种从烟草叶中提取的危险物质。当过量摄入尼古丁时,会导致呼吸衰竭和心脏骤停。电子烟的商业化使得使用者能够直接接触电子烟液。因此,液体尼古丁暴露的风险增加了。我们描述了对一名口服高浓度电子烟液中液体尼古丁患者的治疗经验。该患者出现了心动过缓和低血压,这是副交感神经刺激的症状,同时伴有意识障碍。经阿托品和血管升压药治疗后康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf4d/5885240/d12f32178159/rbti-30-01-0121-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf4d/5885240/d12f32178159/rbti-30-01-0121-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf4d/5885240/d12f32178159/rbti-30-01-0121-g01.jpg

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