Smile D H
Ann Emerg Med. 1984 Jan;13(1):53-5. doi: 10.1016/s0196-0644(84)80386-8.
A case of severe alcohol withdrawal complicated by seizures, hallucinosis, hypertension, and supraventricular tachycardia is presented. When the patient showed no response to intravenous diazepam (total, 70 mg over 30 minutes) three 0.5-mg increments of propranolol were administered intravenously, resulting in immediate conversion to sinus rhythm and reduction of blood pressure from 210/130 mm Hg to 130/80 mm Hg. The use of intravenous propranolol as an adjunct to standard therapy in the alcohol withdrawal syndrome is discussed.
本文报告一例严重酒精戒断综合征患者，伴有癫痫发作、幻觉、高血压和室上性心动过速。当患者对静脉注射地西泮无反应（30分钟内总量达70毫克）时，静脉注射三次0.5毫克的普萘洛尔，结果患者立即转为窦性心律，血压从210/130毫米汞柱降至130/80毫米汞柱。文中讨论了静脉注射普萘洛尔作为酒精戒断综合征标准治疗辅助手段的应用。
