摘要
目的探讨急性中毒导致的恶性心律失常的临床治疗方法。方法分析11例急性中毒致恶性心律失常病例的救治过程;观察恶性心律失常通过药物及电复律与解除病因并用的治疗效果。结果患者心律失常表现包括室性早搏、室性心动过速、心室颤动、窦性心动过速、窦性心动过缓、房性早搏、ST-T改变等。通过予胺碘酮、利多卡因、艾司洛尔等药物复律,电除颤,以血液灌流、特效解毒剂等清除毒物,并予多脏器保护等对症治疗后,11例病例抢救成功10例,死亡1例。结论急性中毒致恶性心律失常可采用抗心律失常和解除病因特异性处置并用的原则进行治疗。
Objective To explore the treatment of malignant arrhythmia induced by acute poisoning. Methods To analyze the treatment of 11 cases of malignant arrhythmia caused by acute poisoning. The therapeutic effect of malignant arrhythmia treated by drug, electrical cardioversion and detoxification was observed. Results The arrhythmias in the patients included premature ventricular beats, ventricular tachycardia, ventricular fibrillation, sinus tachycardia, sinus bradycardia, atrial premature beats, and ST-T changes. After treatment with cardioerter drug such as amiodarone, lidocaine, esmolol and other drugs, electric defibrillation, removeing poisons with hemoperfusion and specific antidotes, and multiple organ protection symptomatic treatment, 10 cases were successfully rescued and 1 case died. Conclusion Malignant arrhythmias caused by acute poisoning could be given combined treatment with anti-arrhythmias and relief of etiology.
作者
毕玉磊
胡英华
邱丽丽
吴迪
冯克玉
BI Yulei;HU Yinghua;QIU Lili;WU Di;FENG Keyu(The Second Hospital of Heilongjiang,Haerbin,Heilongjiang 150010,China)
出处
《中国职业医学》
CAS
北大核心
2019年第6期746-749,共4页
China Occupational Medicine
关键词
急性中毒
恶性心律失常
临床治疗
药物治疗
复律
血流灌流
Acute poisoning
Malignant arrhythmia
Clinical treatment
Drug therapy
Cardioversion
Hemoperfusion
作者简介
毕玉磊(1979—),男,医学硕士,副主任医师,主要从事职业中毒临床诊疗工作
