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目的探讨乌头碱中毒致心律失常的救治方法。方法总结22例乌头碱中毒病例的抗心律失常药物治疗、电复律、洗胃、导泻、补液、促排毒及纠正水、电解质失衡等综合治疗的方法。结果本组3例频发室性早搏、8例多源频发室性早搏、6例室性早搏并二联律、2例Ⅱ度房室传导阻滞、2例尖端扭转型室速、1例室颤病例,经过及时抢救治疗,21例痊愈,1例死亡,抢救成功率95.5%。结论乌头碱中毒致心律失常,有效及时的治疗,可阻止病情恶化,大大降低死亡率。
Objective To investigate the treatment of aconitine induced arrhythmia. Methods 22 cases of aconitine poisoning cases of anti-arrhythmic drug therapy, electrical cardioversion, gastric lavage, catharsis, rehydration, detoxification and correction of water, electrolyte imbalance and other comprehensive treatment methods. Results There were 3 cases of frequent premature ventricular contractions, 8 cases of frequent premature ventricular contractions, 6 cases of premature ventricular contractions and ventricular premature beats, 2 cases of Ⅱ degree atrioventricular block, 2 cases of torsades de pointes, 1 Cases of ventricular fibrillation cases, after timely rescue treatment, 21 cases recovered, 1 patient died, rescue success rate was 95.5%. Conclusion aconitine induced arrhythmia, effective and timely treatment, can prevent the deterioration of the condition, greatly reducing mortality.