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本文通过一家6人吃毒蕈后中毒致心肌损伤人院抢救存活5例,死亡1例。提示:应加强毒蕈中毒病人的心脏监护及给予恰当的治疗。具体措施:(1)卧床休息,密切监护,特别要及时发现心律失常及时处理。(2)密切监测电解质。(3)保护心肌,适当投营养心肌药物。(4)出现心动过缓伴高度或完全Ⅲ°A-VB时,有条件者置临时心内膜起搏器,无条件时可选用阿托品0.5～1mg注射及低浓度异丙肾上腺索0.25mg+GS500ml静淌,10～20滴/分,同时加用氢化考的松0.2～0.4/日静点,共3～4,一般可以脱险。
This article through a 6 people eating poisonous mushroom poisoning caused by myocardial infarction in hospital rescue survival in 5 cases, 1 died. Tip: Cardiac poisoning patients should be strengthened cardiac care and appropriate treatment. Specific measures: (1) bed rest, close guardianship, in particular, timely and timely detection of arrhythmia. (2) Monitor the electrolyte closely. (3) to protect the myocardium, proper cast nutrition myocardial drugs. (4) when the tachycardia with height or complete Ⅲ ° A-VB, the conditions of persons with temporary endocardial pacemaker, unconditional use of atropine 0.5 ~ 1mg injection and low concentrations of isoproterenol 0.25mg + GS500ml Static flow, 10 to 20 drops / min, while adding hydrocortisone 0.2 ~ 0.4 / day static point, a total of 3 to 4, the general can escape.