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593例地高辛治疗 CHF 中,发生中毒者67例(11.29%)。老年组(>60岁)33.33%,成年组(≤60岁)7.2%(P<0.001)。大约90%中毒表现者可寻及易患因素。包括1.低血钾16例(23.88%);2.肾衰14例(20.9%);3.老年31例(46.27%),4.肺感染15例(22.39%),5.肺栓塞6例(8.96%);6.心肌衰竭12例(17.91%);7.风湿热2例(2.99%);;8.感染性心内膜炎1例(1.49%);9.药物影响5例(7.46%);10.不明原因6例。结果显示多数地高辛中毒可以通过消除易患因素预防。
In 593 digoxin treatment CHF, 67 cases (11.29%) were poisoned. The elderly group (> 60 years old) 33.33%, adult group (≤60 years old) 7.2% (P <0.001). Approximately 90% of those with toxic manifestations can find predisposing factors. Including 1. Hypokalemia in 16 cases (23.88%); 2. Renal failure in 14 cases (20.9%); 3. Elderly in 31 cases (46.27%), 4. Pulmonary infection in 15 cases (22.39% (8.96%); 6 myocardial failure in 12 cases (17.91%); 7 rheumatic fever in 2 cases (2.99%); 8 infective endocarditis in 1 case (1.49%); 9 drug effects in 5 cases (7.46%); 10 unexplained 6 cases. The results show that most digoxin poisoning can be prevented by eliminating predisposing factors.