摘要
目的探讨急性乌头碱中毒恶性室性心率失常的诊治效果,以期提高抢救成功率。方法对整群选取该院2011年1月—2015年6月收治的41例急性乌头碱中毒致恶性室性心率失常患者的诊治进行回顾性的分析。所有患者均予洗胃处理及对症应用阿托品、硫酸镁及胺碘酮等治疗。根据治疗后患者24 h的临床表现和心电图检查评价临床效果。结果 24 h抗心率失常显效28例、有效13例、无效0例。41例患者经救治均脱离生命危险,全部好转或治愈出院。结论正确掌握急性乌头碱中毒致恶性室性心率失常的临床特点及诊治要点,采用合理的方法等综合性治疗是提高患者抢救成功率的关键。
Objective To discuss the diagnosis and treatment experience of acute aconitine poisoning malignant ventricular arrhythmia to improve the rescue success rate. Methods The diagnosis and treatment of 41 cases of patients with acute aconitine poisoning malignant ventricular arrhythmia treated in our hospital from January 2011 to June 2015 were retrospectively analyzed, all patients were given gastric lavage treatment and the symptomatic treatment of atropine, Epsom salt and amiodarone, the clinical effect was evaluated according to the clinical manifestations of 24 h after treatment and ECG examination. Results 28 cases were markedly effective, 13 cases were effective, 0 case was ineffective, 41 cases were out of danger, all improved and cured and discharged after treatment. Conclusion Correctly mastering the clinical characteristics and main points of diagnose and management of acute aconitine poisoning malignant ventricular arrhythmia and adopting the systemic treatment such as the rational method is the key to improve the patient＇s rescue success rate.
出处
《中外医疗》
2016年第4期131-132,共2页
China & Foreign Medical Treatment
关键词
急性乌头碱中毒
室性心率失常
抢救成功率
Acute aconitine poisoning
Ventricular arrhythmia
Rescue success rate
