氟卡尼中毒——一种紧急情况的临床诊断与处理
Flecainide toxicity-Clinical diagnosis and management of an urgent condition.
作者信息
Bazoukis George, Efthymiou Polyxeni, Yiannikourides Andronicos, Khattab Elina, Dimitriades Varnavas, Tse Gary, Pavlou Marios, Georgiou Panagiota, Kapetis Lorentzos, Patestos Dimitrios, Tsielepis Michalis, Myrianthopoulos Kimon, Papasavvas Elias, Christophides Theodoros
机构信息
Department of Cardiology Larnaca General Hospital Larnaca Cyprus.
European University Cyprus Medical School Nicosia Cyprus.
出版信息
Clin Case Rep. 2024 Aug 29;12(9):e9371. doi: 10.1002/ccr3.9371. eCollection 2024 Sep.
Clinical suspicion, clinical presentation, and electrocardiogram can help clinicians diagnose flecainide toxicity. Currently, there are no guidelines for the management of patients with flecainide toxicity. Sodium bicarbonate, lipid emulsion therapy, and extracorporeal life support have been used in this setting. Amiodarone and lidocaine can be used for the management of wide QRS complex tachycardias in hemodynamically stable patients with flecainide toxicity.
临床怀疑、临床表现及心电图有助于临床医生诊断氟卡尼中毒。目前，尚无针对氟卡尼中毒患者管理的指南。在此情况下，已使用碳酸氢钠、脂质乳剂治疗及体外生命支持。胺碘酮和利多卡因可用于治疗血流动力学稳定的氟卡尼中毒患者的宽QRS波群心动过速。
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