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目的了解草乌中毒的临床特点,探讨草乌中毒的临床救治措施。方法总结15例草乌中毒患者的临床资料,分析中毒临床表现及对救治措施进行探讨。结果草乌中毒患者病情进展迅猛、凶险。出现癫痫样发作6例,精神症状4例,室性心动过速、胃肠道严重反应2例,合并严重心律失常、中枢抑制、呼吸循环衰竭死亡3例。结论草乌中毒极易发生心脏毒性反应、中枢抑制,二者是草乌中毒致死主要原因,临床上须高度重视,及早使用阿托品、抗心律失常药物,保护重要器官功能,可明显降低死亡率。
Objective To understand the clinical features of poisoning poisoning and discuss the clinical treatment of poisoning. Methods The clinical data of 15 cases of poisoning poisoning were summarized, and the clinical manifestations of poisoning and the treatment measures were analyzed. Results Aconitinosis progressed rapidly and dangerously. Epilepsy occurred in 6 cases, 4 cases of psychiatric symptoms, ventricular tachycardia, gastrointestinal serious reaction in 2 cases, with severe arrhythmia, central inhibition, respiratory failure and death in 3 cases. Conclusions Aconitum kusnezoffii is prone to have cardiotoxicity and central inhibition. Both of them are the main causes of lethal poisoning. The clinical application of atropine and antiarrhythmic drugs should protect the vital organs and reduce the mortality rate significantly.