藏药过量致室性心动过速：一例乌头碱中毒病例报告
Ventricular Tachycardia due to an Overdose of Tibetan Drugs: A Case Report of Aconitine Poisoning.
作者信息
Liu Panjing, Niu Mingyuan, Zhang Xiaobin, Han Hui
机构信息
Department of Cardiovascular Medicine People's Hospital of Shigatse City Shigatse P.R. China.
Department of Emergency People's Hospital of Shigatse City Shigatse P.R. China.
出版信息
Clin Case Rep. 2025 May 28;13(6):e70538. doi: 10.1002/ccr3.70538. eCollection 2025 Jun.
Tibetan medicine enjoys a high recognition among Tibetans. Many Tibetan hospitals and medicine shops are dedicated to related research and prescribe Tibetan drugs to patients. Overdose intake of aconite-containing Tibetan drugs might cause severe poisoning manifesting malignant ventricular arrhythmias. Supportive measurements, including external chest compression, electric cardioversion, fluid resuscitation, and intravenous administration of amiodarone/lidocaine, aim at restoring sinus rhythm, serving as "time-buying" mechanisms to allow the body to naturally excrete the toxic alkaloids.
藏医药在藏族人群中享有很高的认可度。许多藏医院和药店致力于相关研究，并为患者开藏药。过量摄入含乌头的藏药可能会导致严重中毒，表现为恶性室性心律失常。支持性措施，包括胸外按压、电复律、液体复苏以及静脉注射胺碘酮/利多卡因，旨在恢复窦性心律，作为“争取时间”的机制，使身体能够自然排出有毒生物碱。
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