von Dach B, Streuli R A
Medizinische Abteilung, Regionalspital Langenthal.
Schweiz Med Wochenschr. 1988 Jul 30;118(30):1113-6.
A 40-year-old patient attempted suicide by drinking an extract made from 120 g of yew needles. Shortly after severe ventricular arrhythmia occurred characterized by extremely prolonged QRS-intervals. Recurrent episodes of ventricular tachycardia were successfully treated with high doses of lidocaine. In most cases intoxication by yew needles ends fatally. Lidocaine may be the drug of choice to treat life-threatening tachyarrhythmia in such cases.
一名40岁的患者饮用了从120克紫杉针叶中提取的汁液企图自杀。不久后出现严重的室性心律失常,其特征为QRS间期极度延长。多次室性心动过速发作经大剂量利多卡因成功治疗。在大多数情况下,紫杉针叶中毒会导致死亡。在这种情况下,利多卡因可能是治疗危及生命的快速性心律失常的首选药物。