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本文报道了我院于1966年11月～1983年4月共抢救乌头碱中毒所致各种心律失常20例,全部治愈,无1例死亡,抢救方法如下: 1.立即洗胃,导泻及大量静脉输液,以加速毒物从体内排泄。2.在无特殊拮抗剂的情况下,乌头碱中毒所引起的各种缓慢型心律失常,主要为迷走神经强烈兴奋所致,应选用阿托品,以阻断迷走神经对窦房结及房室结兴奋性的抑制。对于窦房结功能低下而出现的室性心律失常,应用阿托品亦可使其消失。3.患者若出现呼吸抑制,休克或心脏停搏者,均提示中毒严重,应紧急治疗。4.室性心律失常,应立即静脉注射利多卡因。5.乌头碱中毒在体内无蓄积作用,如用阿托品治疗,心律失常消失后,即可停用,以免发生中毒。
This article reports our hospital from November 1966 to April 1983 rescued aconitine poisoning caused by a variety of arrhythmia in 20 cases, all cured, no one died, rescue methods are as follows: 1. Immediate gastric lavage, cathartic And a large number of intravenous fluids, to accelerate the excretion of poison from the body. 2. In the absence of special antagonist, aconitine poisoning caused by a variety of slow arrhythmia, mainly due to strong excitement of the vagus nerve, should be used atropine to block the vagus nerve stimulation of the sinus node and atrioventricular node Sexual inhibition. Ventricular arrhythmias for sinus node dysfunction, the application of atropine can make it disappear. 3. If patients with respiratory depression, shock or cardiac arrest who are prompted severe poisoning, emergency treatment should be. 4. Ventricular arrhythmias, intravenous lidocaine should be immediately. 5. aconitine poisoning in the body without accumulation, such as the treatment with atropine, arrhythmia disappeared, you can disable, so as to avoid poisoning.