苯磺酸氨氯地平片中毒致急性心力衰竭1例

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患者,男,40岁,自服苯磺酸氨氯地平片200片(共1 000mg)15h后急诊入院。患者服药后立即出现恶心、呕吐,服药约6h后送入当地医院,期间未经洗胃、催吐及导泻等治疗,给予“多巴胺、间羟胺”(具体剂量不详)等对症处理后,患者仍存在低血压(具体不详),且伴有尿量减少,为进一步诊治转入我院。病程中无头痛、头晕,无腹痛、腹泻,无四肢活动功能障碍,无大小便失禁。既往体健。入院查体:体温36.0℃,脉搏66次/min,呼吸 Patients, male, 40 years old, self-serving Amlodipine besylate tablets 200 (a total of 1 000 mg) 15h emergency admission. The patient took nausea and vomiting immediately after taking the medicine and was taken to the local hospital after about 6 hours. During the treatment without gastric lavage, vomiting and catharsis, he was given symptomatic treatment such as “dopamine and meta-hydroxylamine” (specific dosage is unknown) Patients still have hypotension (specifically unknown), accompanied by decreased urine output, transferred to our hospital for further diagnosis and treatment. No headache during the course of disease, dizziness, no abdominal pain, diarrhea, limb dysfunction, no incontinence. Past physical health. Admission examination: body temperature 36.0 ℃, pulse 66 times / min, breathing
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