乌头碱中毒致心律失常治疗体会  

Discussing Treatment of Ventricular Arrhythmia Caused by Aconitine

作　　者：成忠凤[1] 徐青 

机构地区：[1]云南省第二人民医院急诊内科 [2]云南省林业中西医结合医院内科,昆明650224

出　　处：《中国医疗前沿》2009年第19期32-33,共2页China Healthcare Innovation

摘　　要：目的探讨乌头碱中毒致心律失常的治疗。方法对乌头碱中毒致心律失常的32例患者的治疗进行分析,发现对乌头碱中毒所引起的心律失常均应给予阿托品治疗,室性心律失常应首选胺碘酮,对顽固性室性心律失常益采用电复律,对尖端扭转型室速的患者用硫酸镁。结果32例病例应用上述治疗均恢复了窦性心律。结论乌头碱中毒致心律失常得到正确治疗后的疗效是显著而确切的。Objective To discuss the treatment of ventricular arrhythmia caused by acute aconitine poisoning. Methods We used atropine to treat all the patients. Amiodarone hydrochloride injection was used to treat ventricular arrhythmias caused by acute aconitine poisoning and if it failed, electrical conversion;electroversion was used. We gave hydrous magnesium to torsade de pointes. Results All the 32 patients with arrhythmia recovered their sinus rhythem. Conclusions The proper use of drugs is effective for ventricular arrhythmia.

关 键 词：乌头碱 心律失常 

分 类 号：R595.4[医药卫生—内科学] R996.2[医药卫生—临床医学]