贵州医科大学学报

1987, (04) 374-376

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洋地黄中毒24例的分析
DIGITALIS INTOXICATION:CLINICAL ANALYSIS OF 24 CASES

张德银;刘正殊;
Zhang Deyin Dep of Intern Med

摘要(Abstract):

本文报道24例洋地黄中毒患者的临床表现,对中毒原因进行了分析,并就洋地黄中毒的诊断,防治等进行了讨论。
Digitalis intoxication in 24 patients with chronic heart failure,contain 7 male and 17 female,age ranged from 12 to 69 years(mean:42)are reported.All the patients but one revealed Class Ⅲ or Ⅳ of decompensation of cardiac function. Their decompensatory history were mostly over 5 years(1 month to 23 yea- rs).The major manifestation during intoxication were arrhythmia,especially bigeminy because of ventricular extrasystole.Death in 2 patients were due to ventricular fibrillation.The serum digoxin concentration(SDC) in 20 cases were more than 2ng/ml. On the clinical analysis,we considered that the principal cause of intoxication may due to retention of digitalis,occasionally the increase of myocardial sensi- tivity to digitalis in differential conditions.Therefore,during the diagnosis and treatment of digitalis intoxication,it is a clinical valuable method to mo- nitor SDC frequently.

关键词(KeyWords): 洋地黄;中毒
Digitalis Poisoning

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作者(Author): 张德银;刘正殊;
Zhang Deyin Dep of Intern Med

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DOI: 10.19367/j.cnki.1000-2707.1987.04.022

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