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美托洛尔治疗咖啡因中毒。

Treatment of caffeine toxicity with metoprolol.

机构信息

Department of Emergency Medicine, Jacobi Medical Center, Bronx, NY, United States of America.

Department of Emergency Medicine, Jacobi Medical Center, Bronx, NY, United States of America.

出版信息

Am J Emerg Med. 2019 Mar;37(3):562.e5-562.e10. doi: 10.1016/j.ajem.2018.11.038. Epub 2018 Nov 26.

DOI:10.1016/j.ajem.2018.11.038
PMID:30514596
Abstract

A 27-year-old man presented with an intentional overdose of concentrated caffeine powder that he bought over the internet. The patient received benzodiazepines and ondansetron for symptomatic treatment when he arrived in the Emergency Department (ED). Subsequently, he developed recurrent supraventricular tachycardia in the ED. The SVT was successfully treated with metoprolol. The patient's caffeine level was >90 mg/L. This is the first known report of treatment of caffeine-induced supraventricular tachycardia with metoprolol.

摘要

一位 27 岁男性因摄入过量网购的浓缩咖啡因粉末而前来就诊。患者抵达急诊科（ED）后，接受了苯二氮䓬类药物和昂丹司琼进行对症治疗。随后，他在 ED 出现反复性室上性心动过速。美托洛尔成功治疗了室上性心动过速。患者的咖啡因水平>90mg/L。这是首例已知使用美托洛尔治疗咖啡因引起的室上性心动过速的报告。

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