心房颤动和休克：茶碱毒性的揭示。
Atrial Fibrillation and Shock: Unmasking Theophylline Toxicity.
机构信息
3rd Department of Internal Medicine, 417 Army Share Fund Hospital, Athens, Greece.
Department of Cardiology, 417 Army Share Fund Hospital, Athens, Greece.
出版信息
Med Princ Pract. 2018;27(4):387-391. doi: 10.1159/000490145. Epub 2018 Jun 22.
OBJECTIVE
The aim of this report is to describe a case of atrial fibrillation and shock precipitated by deliberate self-poisoning with theophylline.
CLINICAL PRESENTATION AND INTERVENTION
An 85-year-old male with severe theophylline intoxication in a suicide attempt was admitted with severe cardiac arrhythmia and shock; despite poor prognosis, he fully recovered gradually after proper diagnosis and treatment. Theophylline is a rather forgotten medication; thus, intoxication is not usually considered among the etiologies of potentially treatable cardiologic emergencies, especially when its use is intentionally concealed.
CONCLUSION
This case highlights the importance of identifying a comprehensive medication history using all available sources of information as early as possible in an emergency department presentation.
目的
本报告旨在描述一例因茶碱蓄意自杀中毒引起的心房颤动和休克。
临床表现和干预
一名 85 岁男性因严重茶碱中毒企图自杀入院时出现严重心律失常和休克；尽管预后不佳，但经过适当的诊断和治疗，他逐渐完全康复。茶碱是一种被遗忘的药物；因此，中毒通常不被认为是潜在可治疗的心脏急症的病因之一，尤其是当它的使用被故意隐瞒时。
结论
本病例强调了在急诊科就诊时尽早通过所有可用信息识别全面用药史的重要性。
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