Proano L, Chiang W K, Wang R Y
Department of Emergency Medicine, Brown University School of Medicine, Rhode Island Hospital, Providence 02903, USA.
Am J Emerg Med. 1995 Jul;13(4):444-50. doi: 10.1016/0735-6757(95)90137-X.
A case of diltiazem overdose with significant hemodynamic compromise is presented. Multiple therapeutic modalities were attempted with limited results. Control was finally achieved with a combination of norepinephrine, dobutamine, and cardiac pacing. Invasive pulmonary monitoring parameters are reported and were important in the management of this patient. The management of calcium channel blocker overdose and the various available therapeutic modalities are discussed.
本文报告一例伴有严重血流动力学障碍的地尔硫䓬过量病例。尝试了多种治疗方式，但效果有限。最终通过去甲肾上腺素、多巴酚丁胺和心脏起搏联合应用实现了病情控制。报告了有创肺监测参数，这些参数在该患者的管理中具有重要意义。文中讨论了钙通道阻滞剂过量的处理及各种可用的治疗方式。
