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地高辛常用于治疗慢性心衰和室上性心动过速,但治疗剂量常与中毒剂量接近,所以容易出现中毒而表现为心律失常和胃肠道症状,不过,中枢神经系统中毒并不少见,只是重视不够。作者报告一例老年病人因地高辛中毒而出现神志改变,以引起医护人员的注意和重视。男患,65岁,患严重的慢性阻塞性肺部疾病合并冠心病及慢性充血性心衰。因昏睡24小时收入老人监护病房,在鼻导管吸氧(21/min)下,血气分析,pH7.30,PaCO_210.9kPa、PaO_26.93kPa、碳酸氢盐43mEq/L,氧饱和度87%,疑是CO_2麻
Digoxin commonly used in the treatment of chronic heart failure and supraventricular tachycardia, but the treatment dose and poisoning dose often close, so prone to poisoning and arrhythmia and gastrointestinal symptoms, however, the central nervous system poisoning is not uncommon, Just not enough attention. The author reports an example of an elderly patient’s mind change due to digoxin poisoning, in order to arouse the attention and attention of medical staff. Male, 65 years old, suffering from severe chronic obstructive pulmonary disease with coronary heart disease and chronic congestive heart failure. Blood gas analysis, pH 7.30, PaCO 2 10.9 kPa, PaO 26.93 kPa, bicarbonate 43 mEq / L, oxygen saturation 87%, due to nasal catheter oxygenation (21 / min) Is CO_2 hemp