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 Wysłany: Śro 15:17, 09 Mar 2011 Temat postu: clarks shoes outlet Aconitine arrhythmia in two ca |
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Aconitine poisoning caused two cases of severe arrhythmia
Poisoning (Pharmacopoeia 1 by the amount of 3-15 from drinking wine prepared aconite, also caused six cases of poisoning are rare. But 2 of them were almost the same time about 30min after drinking onset of ventricular tachycardia,[link widoczny dla zalogowanych], ventricular fibrillation loss of consciousness, and continued intermittently up to 30rrdn be rescued even more rare than the 6 cases, 5 males and 1 female, aged 36-48 years of age, alcohol consumption, ranging from 10-60IIl】 10 minutes after drinking, respectively, nausea. vomiting, chest Ah, heart palpitations, numb limbs and tongue, lower extremity weakness and other symptoms, in 2001, February 6 at 10 pm into the hospital emergency center for treatment. person to hospital immediately after the 6 patients for ECG , consumption of less than 2 patients who showed sinus tachycardia, the other 4 cases there were two frequent premature ventricular contractions, premature ventricular contractions triple law or sources. 2 cases of alcohol consumption is greater, in the hospital more than lO minutes after more than 30 minutes after drinking, the occurrence of ventricular tachycardia and ventricular fibrillation. Example 1 male, aged 38, about 5OJ11】 around drinking with the other five cases the difference is, the consumption of clinical cases symptoms are not very clear. hospital ECG showed premature ventricular contractions immediately triple law, when the disease when patients are readme, suddenly felt unwell, loss of consciousness, ECG monitoring showed ventricular heart block out of the speed with reverse ventricular tachycardia, ventricular fibrillation (Figure 1). A law for the triple premature ventricular contractions; B is out of ventricular tachycardia with 3:2 block; C to reverse ventricular heart had built; D for the ventricular fibrillation Field 1 Aconitum l alkalosis in patients with cases of ECG changes in cases of ring 2 male, 39 years old. alcohol is about 60. lOn after drinking and feeling of nausea,[link widoczny dla zalogowanych], vomiting, numb limbs and tongue, chest Ah, difficulty breathing, Bin Author: 830001 Ulu surgery Qi, Xinjiang, China Hospital function Branch (Shen Zhen Wei, Feng Lanying), emergency department (German Red j · dead flu case reports, about 5min after syncope, ECG monitoring showed ventricular tachycardia, ventricular fibrillation (Figure 2 .) discuss the highly toxic aconitine. oral 02nag will be poisoned, 3 to 4 will die. The performance of poisoning include nervous system and cardiovascular system. aconitine on the heart has a special affinity. to reduce and inhibition of the excitability of sinus node, Purkinje fibers increased excitability,[link widoczny dla zalogowanych], resulting in rapid ectopic rhythms, such as torsades de pointes ventricular tachycardia or ventricular fibrillation. In addition, aconitine can be generated directly in the heart of viral myocarditis in To Indoor increased ectopic pacemaker excitability; ventricular myocardial refractoriness in different parts, conductive inconsistent, complex and easy to form a reentrant not synchronized, causing all kinds of ventricular arrhythmias did not occur in 6 cases the sinus Zealand suppression, on the contrary the lesser of 2 anti-poisoning showed sinus tachycardia. The other 4 sides of the ventricular arrhythmias occurred. A to ventricular tachycardia; B ventricular fibrillation in patients with aconitine poisoning in Figure 2 down 2 The electrocardiogram changes aconitine poisoning is due to the risk of major fatal ventricular arrhythmia, and therefore must stand wheat line ECG monitoring for timely detection and timely treatment. poisoning mild arrhythmia were given anti-arrhythmic drug therapy, according to Different conditions can be used lidocaine, propafenone, amiodarone, symptomatic treatment of atropine and other drugs in a timely manner. For serious cases of ventricular arrhythmia, in addition to timely and appropriate intravenous anti-arrhythmic drugs, can be repeated to give DC cardioversion. this Example 1, down 2 due to ventricular tachycardia,[link widoczny dla zalogowanych], ventricular fibrillation is very stubborn, repeated intermittent seizures, large doses of antiarrhythmic drugs can not control, defibrillation, respectively 40 times and 28 times, and becomes stable in sinus rhythm This is my side of the patient was hospitalized but survived the highest number of 1 attack defibrillation. To consolidate the success of effective pay attention flutter after intravenous anti-arrhythmic drug for several hours. This 6 down poisoned patients, 4 of which side of the treatment by more than 3 5FA discharged. But the cases l,[link widoczny dla zalogowanych], 2 cases of poisoning due to the number of many serious or defibrillation attack, lead to myocardial damage, heart inositol had increased degree of deterrence, after more than 20 days after symptomatic treatment was discharged one: Received: 2001415. 21) (This article Editor: Yan Zhu Yan)
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