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阿米替林中毒时的心电图变化。

Electrocardiographic changes in amitriptyline poisoning.

作者信息

Barnes R J, Kong S M, Wu R W

出版信息

Br Med J. 1968 Jul 27;3(5612):222-3. doi: 10.1136/bmj.3.5612.222.

Abstract

In imipramine and amitriptyline poisoning the electrocardiographic abnormalities comprise arrhythmias, widening of the QRS complex, and marked changes in die S-T segment. These features were found to be of value in the differential diagnosis of unknown poisoning. The unusual configuration of qR with raised S-T segment in V1, simulating myocardial infarction, was seen in one of our patients and has been noted in four cases reported by other workers.

摘要

在丙咪嗪和阿米替林中毒时,心电图异常包括心律失常、QRS波群增宽以及ST段的显著改变。这些特征被发现对不明中毒的鉴别诊断有价值。我们的一名患者出现了V1导联qR形态伴ST段抬高,类似心肌梗死的异常形态,其他研究者报告的4例中也有此情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4413/1986210/4931cd0bd2e6/brmedj02094-0036-a.jpg

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本文引用的文献

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Suicidal attempt by imipramine overdosage.因过量服用丙咪嗪导致的自杀未遂。
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IMIPRAMINE POISONING IN CHILDHOOD.儿童丙咪嗪中毒
Br Med J. 1963 Oct 5;2(5361):844-6. doi: 10.1136/bmj.2.5361.844.
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Amitriptyline poisoning.阿米替林中毒
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Imipramine hydrochloride intoxication.盐酸丙咪嗪中毒
JAMA. 1962 Feb 10;179:456-8. doi: 10.1001/jama.1962.03050060066016.
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Severe imipramine poisoning in an infant.
Am J Dis Child. 1962 May;103:702-5. doi: 10.1001/archpedi.1962.02080020717012.
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A near fatal case of imipramine overdosage.
Am J Psychiatry. 1961 Apr;117:934-6. doi: 10.1176/ajp.117.10.934.
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Med Klin. 1965 Oct 22;60(43):1737-42.

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