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一、本文对23年来发生锑剂所致阿—斯氏综合征44例临床分析:男女发生率之比为1:3.3。锑钾发生率高于口服锑—273中速片疗法,两者比例为4:1。发生时间除1例接近使用了50%剂量外,余均超过50%以上。本组病例典型发作43例(97.7%),猝死1例(2.3%)。发作前有先兆者10例(22.7%),有诱因可查者19例(43.2%)。发作1次者33例(75%),2~5次者9例(20.5%),13次以上者2例(4.5%)。1956~1978年病死率为43.2%。1956~1960年抢救以镇静剂及输液为主,病死率高达100%;1961~1973年以阿托品为主,病死率为36.4%;1974~1978年应用各种抗心律紊乱药物及常规补钾,病死率为20%。二、对钾盐抢救此征作了简短的讨论。
First, this article on the 23 years of antimony agent-induced Aspergillus syndrome in 44 cases of clinical analysis: the incidence of male to female ratio of 1: 3.3. The incidence of antimony potassium is higher than that of oral antimony-273 medium-speed tablet therapy, with a ratio of 4: 1. Occurrence occurred in addition to a case of nearly 50% of the dose, the remaining more than 50%. The typical cases of this group of attacks in 43 cases (97.7%), sudden death in 1 case (2.3%). Ten patients (22.7%) had preconceptions before the attack, and 19 cases (43.2%) had incentives to investigate. Thirty-three patients (75%) had episodes first, 9 (20.5%) had 2 to 5 times and 2 patients (4.5%) had 13 or more attacks. The mortality rate from 1956 to 1978 was 43.2%. Survival from 1956 to 1960 sedatives and infusion-based, case fatality rate as high as 100%; 1961 ~ 1973 mainly atropine, mortality was 36.4%; 1974 to 1978 the application of a variety of anti-arrhythmic drugs and routine potassium, died of The rate is 20%. Second, the salvage of the symptoms of potassium made a brief discussion.