Berger S, Teufel M, Arnold D, Lasch P, Hannack D, Niessen K H
Universitäts-Kinderklinik, Mannheim.
Monatsschr Kinderheilkd. 1988 Apr;136(4):200-2.
A 2 months old girl was given a tenfold increased dosage of Beta-Methyldigoxin for 2 weeks and subsequently developed severe symptoms of glycoside intoxication. In hospital she was treated by digoxin-specific Fab antibody fragments. 18 hours later the symptoms had totally disappeared. However, 48 hours from the beginning of the treatment free digoxin levels rose again to toxic ranges. In chronic intoxications the rediffusion of glycosides from tissues and interstitial space seems to be much more pronounced than in acute intoxications, and there is a higher risk of reintoxication.
一名2个月大的女婴接受了10倍剂量的β-甲基地高辛治疗,持续2周,随后出现严重的洋地黄中毒症状。在医院里,她接受了地高辛特异性Fab抗体片段治疗。18小时后,症状完全消失。然而,治疗开始48小时后,游离地高辛水平再次升至中毒范围。在慢性中毒中,洋地黄苷从组织和间质间隙的再扩散似乎比急性中毒更为明显,且再次中毒的风险更高。