论文部分内容阅读
洋地黄治疗充血性心力衰竭发生中毒反应者常见,而误服者,尤其幼儿误服大剂量地高辛致洋地黄中毒病例却很少见。我们收治2例,报告如下,以资借鉴。例1 女,3岁。父母发现患儿与其弟同服地高辛30片(0.25mg/片),2小时30分后于1983年7月4日急诊入院,此时无任何洋地黄中毒症状。体检:血压12/6.67Kpa,体温36.7℃,脉搏130次/分,呼吸22次/分,体重10kg,神志清楚。心界不大,心率130次/分,心音增强,律整,无杂音,两侧呼吸音清晰,未闻罗音。腹软,肝在肋下1cm。膝反射正常。实验室检查:血钾4.37mmol/L、血钙2.37mmol/L。心电图示:窦性心律,正常心电图。
Digitalis treatment of congestive heart failure toxic reactions are common, and those who take the wrong, especially young children to take high doses of digoxin caused by digitalis poisoning are rare. We received 2 cases, the report is as follows, to draw lessons. Example 1 female, 3 years old. Parents found that their children with their brother with the service of digoxin 30 (0.25mg / tablet), 2 hours and 30 minutes after the July 4, 1983 emergency admission, this time without any digitalis poisoning symptoms. Physical examination: blood pressure 12 / 6.67Kpa, body temperature 36.7 ℃, pulse 130 beats / min, breathing 22 beats / min, weight 10kg, conscious. Heart, heart rate 130 beats / min, heart sound enhancement, law, no noise, both sides of the breath sounds clear, did not hear Luo sound. Abdomen soft, liver in the ribs 1cm. Normal knee reflex. Laboratory tests: potassium 4.37mmol / L, calcium 2.37mmol / L. ECG shows: sinus rhythm, normal ECG.