[Suicidal Tachmalcor poisoning--a case report].

Anaesthesiologie und Reanimation Pub Date : 1999-01-01
A Möbis, D H Minz
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Abstract

In a case report, a Tachmalcor intoxication with a dose of 18 mg/kg body weight is described. This dose caused a ventricular flutter in the patient which lasted for a total of 10 hours, despite intensive treatment. The treatment began approximately three hours after the intoxication and concentrated on therapy of the ventricular tachycardia. The use of Xylocitin 2%, defibrillation, glucagon and sodium chloride is recommended with such symptoms. Additionally, we used hemoperfusion for drug elimination. Despite the cardiac rhythm disorder of such duration, no neurological deficiencies were observed in the patient. Intoxications caused by these drugs in normal intensive therapies are extremely rare and for this reason treatment can often be very problematic. The following article reports on the successful therapy of one such patient.

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自杀性塔奇马尔科中毒——一例报告。
在一个病例报告中,描述了一个剂量为18mg /kg体重的塔他马可中毒。尽管进行了强化治疗,该剂量仍导致患者的心室扑动持续了10小时。中毒后约三小时开始治疗,重点治疗室性心动过速。对于此类症状,建议使用2%木霉素、除颤、胰高血糖素和氯化钠。此外,我们使用血液灌流消除药物。尽管心脏节律紊乱持续了这么长时间,但在患者中没有观察到神经系统缺陷。在常规强化治疗中,由这些药物引起的中毒是极其罕见的,因此治疗通常是非常有问题的。下面的文章报道了一个成功的治疗这样的病人。
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