Brass B J, Winchester-Penny S, Lipper B L
Department of Medicine, New York University Medical Center, NY 10016, USA.
Am J Emerg Med. 1996 Sep;14(5):459-61. doi: 10.1016/S0735-6757(96)90151-5.
We describe two cases of pulmonary edema, bradycardia, and hypotension associated with massive verapamil overdose. A noncardiogenic etiology of the pulmonary edema was indicated in one patient by normal thermodilution cardiac output and pulmonary artery occlusion pressure, and in the other patient by a normal echocardiogram. We hypothesize that calcium channel blocker overdose predisposes patients to develop pulmonary edema.
我们描述了两例与维拉帕米大量过量相关的肺水肿、心动过缓和低血压病例。在一名患者中，热稀释法测得的心输出量和肺动脉闭塞压正常，提示肺水肿的病因是非心源性的；在另一名患者中，超声心动图正常也提示了这一点。我们推测，钙通道阻滞剂过量使患者易发生肺水肿。
