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肾上腺素能β_2受体兴奋剂舒喘灵(S),主要用于治疗支气管哮喘,但也有人主张用于严重心力衰竭,充血性心肌病和早产。作者报告一例S中毒伴有显著的低钾血症。患者女性,76岁,于服总量4mgS 2小时后住院。入院时患者神清,烦躁不安,出汗和震颤。心动过速,140次/分,律齐。血压90/50mmHg,呼吸40次/分,体温37.5℃。无肌无力证据。洗胃洗出粉红色药片碎屑。实验室检查结果:血钾2.3mEq/L,尿素34mg/dl,血糖139mg/dl。白细胞计数16.4×10~9/L(中性粒细胞94%)。血浆肾素活性0.2ng/ml/h(卧位正常1.0—2.0ng/ml/h),醛固酮浓度13.9ng/dl,
Adrenergic β 2 -receptor agonist, salbutamol (S), is primarily used for the treatment of bronchial asthma, although others have advocated for severe heart failure, congestive cardiomyopathy and premature birth. The authors report a case of S poisoning with significant hypokalemia. Female patient, 76 years old, was admitted to hospital after 2 hours of total 4 mgS serving. Patients admitted to the hospital, irritability, sweating and tremor. Tachycardia, 140 beats / min, law Qi. Blood pressure 90 / 50mmHg, breathing 40 beats / min, body temperature 37.5 ℃. Muscle weakness evidence. Wash the stomach to wash out the pink tablets debris. Laboratory test results: serum potassium 2.3mEq / L, urea 34mg / dl, blood glucose 139mg / dl. White blood cell count 16.4 × 10 ~ 9 / L (94% of neutrophils). Plasma renin activity 0.2ng / ml / h (normal 1.0-2.0ng / ml / h in supine position), aldosterone concentration 13.9ng / dl,