论文部分内容阅读
作者报告两例意外的利多卡因超量的临床表现。例1:女患,73岁,因心前区剧痛12小时入院,确诊为急性心内膜下心肌梗塞。因单源性频发室早,给利多卡因50毫克静注,但错给利多卡因500毫克。注入后立即出现全身惊厥,呼吸和心跳停止。即刻静注安定5毫克,并进行心肺复苏,惊厥在2～3分钟内逐渐停止。静注利多卡因5分钟后,心电图
The authors report two unexpected clinical manifestations of lidocaine overdose. Example 1: Female patient, 73 years old, admitted to hospital with acute pain in precordial area for 12 hours and was diagnosed as acute subendocardial myocardial infarction. Due to a single source of frequent occurrence of intraventricular injection lidocaine 50 mg intravenous injection, but wrong to lidocaine 500 mg. Fetal convulsion occurs immediately after injection, breathing and heartbeat stopped. Immediate intravenous stability 5 mg, and CPR, convulsions gradually stopped within 2 to 3 minutes. Intravenous lidocaine 5 minutes after the electrocardiogram