Clemessy J L, Lapostolle F, Borron S W, Baud F J
Service de Réanimation toxicologique, Hôpital Fernand Widal, Paris.
Presse Med. 1996 Oct 19;25(31):1435-9.
Acute chloroquine intoxication is responsible for grave cardiovascular disturbances which may be rapidly life-threatening. For this reason, any suspicion of acute chloroquine intoxication requires hospitalisation in an intensive care unit for a minimum of 12 hours. Cardiovascular toxicity is linked to a potent membrane-stabilizing effect, which is also responsible for transfer-dependent hypokalemia, the degree of which is directly associated with the gravity of the intoxication. Blood chloroquine concentration confirms the intoxication and is likewise closely correlated to gravity. Treatment of this intoxication, based on vascular repletion, adrenalin, assisted ventilation and diazepam has markedly improved the prognosis of these intoxications, overall mortality for all degrees of intoxication nonetheless remains to the order of 10%.
急性氯喹中毒可导致严重的心血管紊乱,可能迅速危及生命。因此,一旦怀疑有急性氯喹中毒,需在重症监护病房住院至少12小时。心血管毒性与强大的膜稳定作用有关,这也是导致依赖转运的低钾血症的原因,低钾血症的程度与中毒的严重程度直接相关。血液中氯喹浓度可确诊中毒,且同样与严重程度密切相关。基于补充血容量、使用肾上腺素、辅助通气和地西泮的这种中毒治疗方法已显著改善了这些中毒的预后,不过所有程度中毒的总体死亡率仍在10%左右。