Hussain K M, Kostandy G, Kurz L, Pachter B R
Department of Medicine, New York Methodist Hospital, Brooklyn, USA.
Angiology. 1997 Apr;48(4):351-4. doi: 10.1177/000331979704800408.
The authors report a unique case that presented with hemodynamic abnormalities and severe bradycardia, necessitating the insertion of a temporary pacemaker, as well as metabolic disturbances, hematologic changes, and hepatic and renal dysfunction in an elderly individual owing to lithium intoxication. This case also demonstrates that these various serious side effects of lithium resolved with prompt recognition and discontinuation of lithium. Lithium should be used with extreme caution and frequent monitoring especially in the elderly.
作者报告了一例独特的病例，该老年患者因锂中毒出现血流动力学异常和严重心动过缓，需要植入临时起搏器，同时伴有代谢紊乱、血液学改变以及肝肾功能障碍。该病例还表明，锂的这些各种严重副作用通过及时识别和停用锂得以缓解。锂的使用应极其谨慎并进行频繁监测，尤其是在老年人中。
