乌头碱药酒中毒致快速室性心律失常的电复律治疗  

Liquor Aconitine Poisoning Caused by Rapid Ventricular Arrhythmiasin on the Treatment of Electrical Cardioversion

作　　者：徐邦夫 王春光[1] 刘亚伟[1] 胡建功[1] 

机构地区：[1]安徽省界首市人民医院急诊科,236500

出　　处：《实用心脑肺血管病杂志》2010年第4期442-443,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨乌头碱药酒中毒致严重室性心律失常时应用直流电复律的时机与效果。方法对15例乌头碱药酒中毒致室性心动过速(室速)伴有血流动力学障碍、无脉搏室速、多形室速及心室电风暴进行早期直流电复律干预,分别选择同步电复律及电除颤模式,复律后应用抗心律失常药物预防复发。结果 15例全部治愈。同步电复律10例,电除颤5例,转复为室上性心律。结论乌头碱药酒中毒致严重快速室性心律失常直流电复律治疗安全有效,应及早干预以降低病死率。Objective To investigate the tincture aconitine poisoning caused by aserious ventricular arrhythmias cardioversion timing and effects. Methods 15 cases ventricular tachycardia （VT） with the blood kinetic barriers, pulseless VT, polymorphic VT and electrical storm early intervention, were selected synchronous and defibrillation. Results 15 cases cured. synchronized electrical cardioversion in 10 cases, 5 cases of electrical defibrillation, transfer complex for Supraventficular rhythm. Conclusion Aconitine poisoning caused by a serious ventricular arrhythmia rapidly direct current cardioversion therapy as early as possible to reduce mortality.

关 键 词：乌头碱 中毒 室性心动过速 电复律 

分 类 号：R541.71[医药卫生—心血管疾病]