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目的:研究乌头碱中毒致室性心律失常是为了提高对室性心律失常的诊疗水平。方法:36例乌头碱中毒患者入院,立即洗胃,心电监护。根据心电图情况及时纠正心律紊乱,选用利多卡因、硫酸镁、氯化钾静滴及电除颤抢救。结果:36例患者有效30例,显效4例,无效2例。总有效率94.44%,乌头碱中毒时间与治疗早搏消失时间的疗效比较P值<0.05,有显著性差异。结论:乌头碱中毒所致室性心律失常治疗关键:及早药物及电复律,可提高其治愈率。
Objective: To investigate the incidence of ventricular arrhythmia caused by aconitine in order to improve the diagnosis and treatment of ventricular arrhythmia. Methods: 36 cases of aconitine poisoning were admitted to hospital immediately gastric lavage, ECG monitoring. According to the ECG situation promptly correct heart rhythm disorders, use lidocaine, magnesium sulfate, intravenous infusion of potassium chloride and electrical defibrillation rescue. Results: 36 patients were effective in 30 cases, markedly effective in 4 cases, ineffective in 2 cases. The total effective rate 94.44%, aconitine poisoning time and treatment of premature beats disappear time comparison P value <0.05, there are significant differences. Conclusion: The key to the treatment of ventricular arrhythmia caused by aconitine poisoning is as follows: early medication and electrical cardioversion can improve the cure rate.