{"title":"一例急性磷化铝中毒伴心电图 ST 段抬高的病例","authors":"Manish Chaudhary","doi":"10.18535/jmscr/v11i9.14","DOIUrl":null,"url":null,"abstract":"AlP poisoning has elevated mortality rates because of cardiovascular involvement. Patient survival can be increased by prompt supportive care. In this study, we evaluated a case of aluminium phosphide intentional poisoning in an adult patient. The patient had toxic myocarditis and developed ST elevation on ECG during hospital course, raised troponins and global hypokinesia on echocardiogram. The patient was managed by trimetazidine, intravenous magnesium sulphate, n-acetylcysteine and inotropes. Follow-up echocardiogram, three months later was normal. Keywords: Pesticide, Aluminium phosphide, Cardiotoxicity.","PeriodicalId":16362,"journal":{"name":"Journal of Medical Science And clinical Research","volume":"181 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Case of Acute Aluminium Phosphide Poisoning With ST Segment Elevation ECG Changes\",\"authors\":\"Manish Chaudhary\",\"doi\":\"10.18535/jmscr/v11i9.14\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"AlP poisoning has elevated mortality rates because of cardiovascular involvement. Patient survival can be increased by prompt supportive care. In this study, we evaluated a case of aluminium phosphide intentional poisoning in an adult patient. The patient had toxic myocarditis and developed ST elevation on ECG during hospital course, raised troponins and global hypokinesia on echocardiogram. The patient was managed by trimetazidine, intravenous magnesium sulphate, n-acetylcysteine and inotropes. Follow-up echocardiogram, three months later was normal. Keywords: Pesticide, Aluminium phosphide, Cardiotoxicity.\",\"PeriodicalId\":16362,\"journal\":{\"name\":\"Journal of Medical Science And clinical Research\",\"volume\":\"181 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-09-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Medical Science And clinical Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.18535/jmscr/v11i9.14\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Science And clinical Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18535/jmscr/v11i9.14","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
AlP 中毒因累及心血管而导致死亡率升高。通过及时的支持性护理可以提高患者的存活率。在本研究中，我们评估了一例成人磷化铝蓄意中毒患者。该患者患有中毒性心肌炎，在住院期间心电图出现 ST 抬高，肌钙蛋白升高，超声心动图出现全面心动过速。患者接受了曲美他嗪、静脉注射硫酸镁、正乙酰半胱氨酸和肌注治疗。三个月后的随访超声心动图检查结果正常。关键词农药 磷化铝 心脏毒性
A Case of Acute Aluminium Phosphide Poisoning With ST Segment Elevation ECG Changes
AlP poisoning has elevated mortality rates because of cardiovascular involvement. Patient survival can be increased by prompt supportive care. In this study, we evaluated a case of aluminium phosphide intentional poisoning in an adult patient. The patient had toxic myocarditis and developed ST elevation on ECG during hospital course, raised troponins and global hypokinesia on echocardiogram. The patient was managed by trimetazidine, intravenous magnesium sulphate, n-acetylcysteine and inotropes. Follow-up echocardiogram, three months later was normal. Keywords: Pesticide, Aluminium phosphide, Cardiotoxicity.
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