地高辛治疗血液透析患者突发性失明

World journal of nephrology and urology Pub Date : 2014-05-31 DOI:10.14740/WJNU155W

L. McMahon, S. Safari, E. Smith, W. Tesoriero, R. Macginley, S. Holt

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引用次数: 0

摘要

一例伴有房颤和缺血性心脏病的血液透析患者，已服用胺碘酮和地尔硫卓，在开始地高辛后出现完全失明。发现血清地高辛浓度高度升高，并使用Digibind®治疗，逐渐但完全恢复视力。本病例突出地高辛罕见的并发症，由肾功能衰竭、药物相互作用和沟通不良加剧。世界肾癌杂志，2014;3(2):100-102 doi: http://dx.doi.org/10.14740/wjnu155w

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Sudden Blindness in a Hemodialysis Patient on Digoxin

A hemodialysis patient with atrial fibrillation and ischemic heart disease, already taking amiodarone and diltiazem, presented with complete blindness after commencing digoxin. A highly elevated serum digoxin concentration was discovered and treated with Digibind ® , with gradual but complete return of his vision. This case highlights a rare complication of digoxin potentiated by renal failure, medication interactions and poor communication. World J Nephrol Urol. 2014;3(2):100-102 doi: http://dx.doi.org/10.14740/wjnu155w

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World journal of nephrology and urology

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