氨茶碱中毒致心律失常4例救治体会  

Treatment experience of 4 cases with arrhythmia caused by aminophylline poisoning

作　　者：刘晓曼[1] 干金文 张磊 刘剑飞 金刚[1] 成广海[1] 张建梅[1] 

机构地区：[1]西安航天总医院急诊科,陕西西安710100

出　　处：《临床医学研究与实践》2018年第7期24-25,共2页Clinical Research and Practice

摘　　要：目的总结大剂量氨茶碱中毒致心律失常患者的临床表现及急诊救治体会。方法我院急诊科收治的大剂量氨茶碱中毒患者4例,均发生快速性心律失常,主要表现为窦性心动过速、房性心动过速、房早、室早、房颤。在急诊常规洗胃、导泻、补液、利尿、抗心律失常治疗的基础上,同时给予床旁血液灌流治疗。结果 4例患者心律失常均纠正,好转出院。结论大剂量氨茶碱药物中毒致心律失常在常规治疗基础上联用床旁血液灌流可有效控制心律失常。Objective To summarize the clinical manifestations and emergency treatment experience in patients with arrhythmia caused by aminophylline poisoning. Methods Four patients with high-dose of aminophylline poisoning admitted in the emergency department of our hospital were selected. All of the patients occurred tachyarrhythmia with sinus tachycardia, atrial tachycardia, atrial early, ventricular early and atrial fibrillation. On the basis of conventional emergency gastric lavage, catharsis, rehydration, diuretic, anti-arrhythmia, they were given bedside hemoperfusion treatment.Results Four cases of arrhythmia corrected, improved and discharged. Conclusion Hemoperfusion treatment on the basis of routine treatment in patients with arrhythmia caused by a large dose of aminophylline poisoning can effectively control the arrhythmia.

关 键 词：氨茶碱 中毒 心律失常 血液灌流 

分 类 号：R595[医药卫生—内科学]