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Intravenous lipid emulsion in propanolol overdose

机译:普萘洛尔过量时的静脉脂质乳液

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摘要

We present a case of propanolol overdose with cardiovascular collapse that was treated with conventional therapy and intravenous lipid emulsion. A 27-year-old woman deliberately ingested approximately 7 g propanolol. Approximately one hour after ingestion, she presented to the emergency department having been found collapsed by her partner. On arrival, she was tolerating anoro-pharyngeal airway with a respiratory rate of 15-20 min~(-1) ; her non-invasive blood pressure was 60/30 mmHg and her pulse rate was 25 min~(-1) . She was unresponsive to pain (Glasgow Coma Scale 3/15), her pupils were size 5, equal and sluggishly reactive to light. There was generalised tonic/clonic seizure activity.
机译:我们介绍了一例因传统疗法和静脉脂质乳剂治疗而导致心血管衰竭的丙醇过量的病例。一名27岁的妇女故意摄入了约7克普萘洛尔。吞食大约一小时后,她被伴侣发现倒塌而出现在急诊室。到达后,她耐受鼻咽气道,呼吸频率为15-20分钟〜(-1);无创血压为60/30 mmHg,脉搏为25 min〜(-1)。她对疼痛无反应(格拉斯哥昏迷等级3/15),瞳孔大小为5,相等,对光反应迟钝。全身性强直/阵挛性癫痫发作活动。

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