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小剂量利多卡因的脑和心脏毒性

Cerebral and cardiac toxicity of a small dose of lignocaine.

作者信息

Klein H O, Jutrin I, Kaplinsky E

出版信息

Br Heart J. 1975 Jul;37(7):775-8. doi: 10.1136/hrt.37.7.775.

Abstract

A patient is reported in whom an intravenous bolus injection of 50 mg lignocaine produced extreme sinus bradycardia (rate 14 to 20/min). Only 2 patients with such a response to a similarly small dose have been previously reported, but these reports indicate clearly that careful electrocardiographic monitoring is advisable when lignocaine is administered.

摘要

据报道,一名患者静脉推注50毫克利多卡因后出现极度窦性心动过缓(心率14至20次/分钟)。此前仅报道过2例对同样小剂量有这种反应的患者,但这些报道清楚地表明,使用利多卡因时建议进行仔细的心电图监测。

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引用本文的文献

1
Does Low Dose Lidocaine Cause Convulsions?低剂量利多卡因会引发惊厥吗?
Turk J Anaesthesiol Reanim. 2014 Apr;42(2):106-8. doi: 10.5152/TJAR.2014.21043. Epub 2014 Jan 6.
2
Prophylactic lidocaine for myocardial infarction.用于心肌梗死的预防性利多卡因。
Cochrane Database Syst Rev. 2015 Aug 21;2015(8):CD008553. doi: 10.1002/14651858.CD008553.pub2.
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Clinical pharmacokinetics of lignocaine.利多卡因的临床药代动力学。
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