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目的:总结乌头碱中毒的临床特征和治疗方法,以提高其抢救成功率。方法:回顾性分析我科2010年1月～2011年12月收治的13例乌头碱中毒患者的临床资料。结果:13例均出现心律失常,其中室性早搏10例,频发多源性室早8例,反复室速、室颤3例,窦性心动过缓、房室传导阻滞2例;治愈12例,死亡1例。结论:尽快清除体内毒物、及早血液灌流、积极有效控制各类心律失常等综合治疗是提高乌头碱中毒抢救成功率的关键。
Objective: To summarize the clinical characteristics and treatment of aconitine poisoning in order to improve the success rate of rescue. Methods: The clinical data of 13 patients with aconitine poisoning admitted to our department from January 2010 to December 2011 were retrospectively analyzed. Results: All of the 13 cases showed arrhythmia, including 10 cases of premature ventricular contractions, 8 cases of frequent multi - source ventricular astigmatism, 3 cases of recurrent ventricular tachycardia, 3 cases of ventricular fibrillation, 2 cases of sinus bradycardia and atrioventricular block. 12 cases, 1 died. Conclusion: As soon as possible to remove toxic substances in the body, early hemoperfusion, active and effective control of various types of arrhythmia and other comprehensive treatment is the key to improve the success rate of aconitine poisoning.