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奎尼丁晕厥。关于用甲苯磺酸溴苄铵成功治疗的报告。

Quinidine syncope. A report of successful treatment with bretylium tosylate.

作者信息

VanderArk C R, Reynolds E W, Kahn D R, Tullett G

出版信息

J Thorac Cardiovasc Surg. 1976 Sep;72(3):464-7.

PMID:957762
Abstract

Quinidine syncope is an unpredictable side effect of quinidine administrateion which has a mortality rate of 11.5 per cent when managed with conventional drugs and direct-current countershock. In 2 patients with quindine syncope, the arrhythmias were effectively controlled within 30 minutes following the slow infusion of 150 mg. of bretylium tosylate. This control is contrasted with 2 cases managed in the conventional manner. Bretylium tosylate is a quaternary amine with unique antifibrillatory properties and appears to have a significant role in the management of these arrhylmias.

摘要

奎尼丁晕厥是奎尼丁给药后一种不可预测的副作用,采用传统药物和直流电除颤治疗时死亡率为11.5%。在2例奎尼丁晕厥患者中,缓慢输注150毫克甲苯磺酸溴苄铵后30分钟内心律失常得到有效控制。这一情况与2例采用传统方式治疗的病例形成对比。甲苯磺酸溴苄铵是一种具有独特抗纤颤特性的季铵盐,似乎在这些心律失常的治疗中具有重要作用。

相似文献

1
Quinidine syncope. A report of successful treatment with bretylium tosylate.奎尼丁晕厥。关于用甲苯磺酸溴苄铵成功治疗的报告。
J Thorac Cardiovasc Surg. 1976 Sep;72(3):464-7.
2
[Treatment of refractory ventricular tachycardia and fibrillation by bretylium tosylate: a report of 4 cases].
Zhonghua Xin Xue Guan Bing Za Zhi. 1987 Aug;15(4):203-4, 12.
3
Bretylium tosylate: a review.溴苄铵甲苯磺酸盐:综述
Am J Hosp Pharm. 1979 Sep;36(9):1189-92.
4
Bretylium tosylate: a newly available antiarrhythmic drug for ventricular arrhythmias.溴苄铵甲苯磺酸盐:一种新上市的用于治疗室性心律失常的抗心律失常药物。
Ann Intern Med. 1979 Aug;91(2):229-38. doi: 10.7326/0003-4819-91-2-229.
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Quinidine-induced syncope.奎尼丁所致晕厥
Arch Intern Med. 1983 Feb;143(2):314-6.
6
Paradoxical ventricular tachycardia and fibrillation after intravenous bretylium therapy. Report of two cases.静脉注射溴苄铵治疗后出现反常性室性心动过速和颤动。两例报告。
Arch Intern Med. 1981 May;141(6):801-2.
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Quinidine syncope; report of a case successfully treated with lidocaine.奎尼丁晕厥;利多卡因成功治疗一例报告
Chest. 1972 Dec;62(6):764-6. doi: 10.1378/chest.62.6.764.
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Bretylium tosylate in the management of recurrent ventricular fibrillation complicating acute myocardial infarction.甲苯磺酸溴苄铵用于治疗急性心肌梗死并发的复发性心室颤动。
Heart Lung. 1980 Mar-Apr;9(2):265-70.
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Experimental and clinical pharmacology of bretylium tosylate in acute myocardial infarction: a 15-year journey.
J Pharmacol. 1986 Jul-Sep;17(3):223-43.
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[Bretylium tosylate as an anti-arrhythmic drug].
Z Gesamte Inn Med. 1976 Nov 15;31(22):913-9.

引用本文的文献

1
Poisoning due to class IA antiarrhythmic drugs. Quinidine, procainamide and disopyramide.IA类抗心律失常药物中毒。奎尼丁、普鲁卡因胺和丙吡胺。
Drug Saf. 1990 Nov-Dec;5(6):393-420. doi: 10.2165/00002018-199005060-00002.
2
Antiarrhythmic drugs: clinical pharmacology and therapeutic uses.抗心律失常药物:临床药理学与治疗用途
Drugs. 1978 Apr;15(4):271-309. doi: 10.2165/00003495-197815040-00003.