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急性维拉帕米中毒:肾上腺素治疗成功

Acute verapamil poisoning: successful treatment with epinephrine.

作者信息

Chimienti M, Previtali M, Medicia A, Piccinini M

出版信息

Clin Cardiol. 1982 Mar;5(3):219-22. doi: 10.1002/clc.4960050304.

Abstract

Acute intoxication with verapamil (2400 mg) induced A-V dissociation and circulatory failure in a 38-year-old woman with no previous cardiac disease. Resumption of A-V conduction was observed after administration of orciprenalin, calcium gluconate, and dopamine, with no effect on blood pressure. Epinephrine infusion finally restored satisfactory blood pressure level and allowed a favorable outcome.

摘要

一名38岁无心脏病史的女性因急性维拉帕米中毒(2400毫克)出现房室分离和循环衰竭。给予奥西那林、葡萄糖酸钙和多巴胺后观察到房室传导恢复,但对血压无影响。最后输注肾上腺素使血压恢复到满意水平,并带来了良好的预后。

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