一种不规则的、极其宽大的 QRS 复合波节律。

An irregular, extremely broad QRS complex rhythm.

机构信息

Department of cardiology, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.

出版信息

Am J Emerg Med. 2019 Oct;37(10):1989.e1-1989.e3. doi: 10.1016/j.ajem.2019.158356. Epub 2019 Jul 21.

DOI:10.1016/j.ajem.2019.158356

Abstract

We report a case of a 74-year-old lady admitted to the emergency department with a very broad QRS complex caused by flecainide intoxication due to acute renal failure. Appropriate recognition of the ECG changes and symptoms provoked by flecainide intoxication permitted quick directed treatment with intravenous administration of high dose sodium bicarbonate, which resolved the QRS elongation.

摘要

我们报告了一例 74 岁女性患者，因急性肾衰竭导致氟卡尼中毒，心电图呈现宽大 QRS 波群，被收入急诊科。通过对氟卡尼中毒引起的心电图改变和症状的准确识别，我们给予了静脉注射大剂量碳酸氢钠的针对性治疗，成功解决了 QRS 波群延长的问题。