Brady W J, Stremski E, Eljaiek L, Aufderheide T P
Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee.
Am J Emerg Med. 1994 Sep;12(5):533-6. doi: 10.1016/0735-6757(94)90272-0.
Inhalation of volatile halogenated hydrocarbons may produce life-threatening cardiac and neurological toxicity. A 15-year-old boy developed ventricular fibrillation immediately after intentional inhalation of a fluorinated hydrocarbon from an automobile air conditioner recharge unit. After the use of intravenous bretylium, a hemodynamically stable sinus tachycardia was restored. Aspiration pneumonitis and rhabdomyolysis complicated his hospital course before complete neurological recovery. The mechanism and treatment of cardiac arrhythmias after volatile fluorinated hydrocarbon inhalation are reviewed.
吸入挥发性卤代烃可能会产生危及生命的心脏和神经毒性。一名15岁男孩在故意吸入汽车空调制冷剂中的氟化烃后立即发生心室颤动。静脉注射溴苄铵后，恢复了血流动力学稳定的窦性心动过速。在神经功能完全恢复之前，吸入性肺炎和横纹肌溶解症使他的住院过程复杂化。本文综述了吸入挥发性氟化烃后心律失常的机制及治疗。
