极度洋地黄中毒

Extreme digitalis intoxication.

作者信息

Ahlmark G

出版信息

Acta Med Scand. 1976;200(5):423-5. doi: 10.1111/j.0954-6820.1976.tb08256.x.

DOI:10.1111/j.0954-6820.1976.tb08256.x

Abstract

A case of massive digoxin intoxication is described. The concentration of digoxin in plasma, 15.5 ng/ml, is one of the highest observed in an individual not having heart diease who survived the intoxication. During the first two days there was complete heart block but only moderate hyperkalaemia. The advantage of temporary pacemaker treatment under these conditions is emphasized.

摘要

本文描述了一例地高辛严重中毒病例。该患者血浆地高辛浓度为15.5纳克/毫升，是未患心脏病且中毒后存活的个体中所观察到的最高浓度之一。在最初两天出现完全性心脏传导阻滞，但仅有中度高钾血症。强调了在这些情况下进行临时起搏器治疗的优势。