Stopfkuchen H, Gilfrich H J, Jüngst B K, Gempp W
Intensive Care Med. 1978 Nov;4(4):199-201. doi: 10.1007/BF01902547.
In a 10 year old boy 8 hours after taking about 16 mg beta-acetyl-digoxin a maximum serum digoxin level of 31.8 ng/ml was measured radioimmunologically. This is the highest digitalis level in childhood described to date. The serum potassium level rose to 7.4 mmol/l. Complete atrio-ventricular block, and salves of ventricular premature beats were the most serious rhythm disturbances. The absence of life threatening rhythm disturbances is attributed to the early use of diphenylhydantoin in small frequent doses.
一名10岁男孩服用约16毫克β-乙酰地高辛8小时后，通过放射免疫法测得血清地高辛最高水平为31.8纳克/毫升。这是迄今为止所描述的儿童期最高的洋地黄水平。血清钾水平升至7.4毫摩尔/升。完全性房室传导阻滞和室性早搏的发作是最严重的节律紊乱。未出现危及生命的节律紊乱归因于早期小剂量频繁使用苯妥英。
