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目的:分析54例急性乌头碱中毒病例的临床心电图及治疗资料,探讨其心电图表现及治疗方法。方法:对54例急性乌头碱中毒病例进行心电图特征分析;54例患者均给予适量的阿托品治疗,对室性心律失常患者加用利多卡因治疗。结果:54例中毒患者中心电图异常48例(88.9%),其中以室性心律失常最多见,有30例(55.6%),室上性心律失常11例(20.4%),房室传导阻滞7例(22.2%),ST-T改变7例(13.1%),有26例(48.1%)同时出现2种及2种以上心电图改变。经3～7d抢救治疗,54例患者临床症状消失,48例异常心电图患者中46例心电图恢复正常窦性心律,2例尚遗留有异常心电图改变。死亡1例。结论:乌头碱中毒易致多种心律失常,心电图主要表现为室性心律失常和窦性心动过缓及房室传导阻滞,而应用阿托品、利多卡因可有效控制心律失常。
Objective: To analyze the clinical electrocardiogram and treatment data of 54 cases of aconitine poisoning cases and discuss their electrocardiogram and treatment methods. Methods: Fifty-four cases of acute aconitine poisoning were analyzed by electrocardiogram (ECG); 54 patients received appropriate atropine treatment and lidocaine was given to patients with ventricular arrhythmia. Results: Among the 54 poisoning patients, electrocardiogram was abnormal in 48 cases (88.9%), of which ventricular arrhythmia was most common in 30 cases (55.6%), supraventricular arrhythmias in 11 cases (20.4%), atrioventricular block 7 cases (22.2%), ST-T changes in 7 cases (13.1%), 26 cases (48.1%) with 2 or more ECG changes at the same time. After 3 ~ 7d rescue treatment, clinical symptoms of 54 patients disappeared, 48 patients with abnormal ECG electrocardiogram returned to normal sinus rhythm, 2 patients still have abnormal ECG changes. 1 case of death. CONCLUSION: Aconitine poisoning can lead to a variety of arrhythmias. ECG mainly shows ventricular arrhythmias and sinus bradycardia and atrioventricular block. However, atropine and lidocaine can effectively control arrhythmia.