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儿童洋地黄毒性与地高辛血药浓度(作者译)

[Digitalis toxicity and digoxin blood levels in children (author's transl)].

作者信息

Svaluto Moreolo G, Petrassi S, Del Torso S, Stefanelli U, Da Dalt L, Pellegrino P A

出版信息

G Ital Cardiol. 1979;9(2):191-6.

PMID:540692
Abstract

Digoxin serum levels in 41 children with clinical and/or ECG symptoms of digitoxicity were determined by radioimmunoassay and compared to the normal values. 54% of the cases showed a good relationship between clinical and/or ECG signs of toxicity and digoxin levels; on the contrary, 29% of patients exhibited only clinical and/or ECG signs of toxicity with normal digoxin levels and 17% of patients had high digoxin levels without signs of toxicity. The significance and possible causes of this relative discrepancy are discussed.

摘要

采用放射免疫分析法测定了41例有洋地黄中毒临床和/或心电图症状的儿童的地高辛血清水平,并与正常值进行比较。54%的病例显示中毒的临床和/或心电图体征与地高辛水平之间存在良好的相关性;相反,29%的患者仅表现出中毒的临床和/或心电图体征,而地高辛水平正常,17%的患者地高辛水平高但无中毒体征。讨论了这种相对差异的意义及可能原因。

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