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目的分析导致地高辛中毒的相关原因。方法 24例接受地高辛治疗的心力衰竭患者,风湿性心脏病并心力衰竭2例,冠心病并心力衰竭8例,高血压性心脏病并心力衰竭4例,扩张型心肌病并心力衰竭1例,肺源性心脏病并心力衰竭9例,对导致地高辛中毒的因素进行分析。结果地高辛中毒与肝肾功能、电解质紊乱、年龄、缺氧、相关药物等有关2,4例病例均全部早期发现,早期治疗。结论使用地高辛时对易导致中毒的高危人群应及时监测血药浓度,调整剂量。
Objective To analyze the related causes of digoxin poisoning. Methods Twenty-four patients with heart failure treated with digoxin, 2 with rheumatic heart disease and heart failure, 8 with coronary heart disease and heart failure, 4 with hypertensive heart disease and heart failure, 4 with dilated cardiomyopathy and 1 with heart failure Cases, pulmonary heart disease and heart failure in 9 cases, the factors that led to digoxin poisoning were analyzed. Results Digoxin poisoning and liver and kidney function, electrolyte imbalance, age, hypoxia, related drugs and other related 2, 4 cases were all early detection and early treatment. Conclusion When digoxin is used, the blood concentration should be monitored in time to adjust the dose of digoxin.