MASSIVE DIPHENHYDRAMINE POISONING RESULTING IN A WIDE-COMPLEX TACHYCARDIA - SUCCESSFUL TREATMENT WITH SODIUM-BICARBONATE

被引：41

作者：

CLARK, RF

VANCE, MV

机构：

[1] Department of Medical Toxicology, Good Samaritan Regional Medical Center, Phoenix, AZ

来源：

ANNALS OF EMERGENCY MEDICINE | 1992年 / 21卷 / 03期

关键词：

DIPHENHYDRAMINE; OVERDOSE; SODIUM BICARBONATE; DIPHENHYDRAMINE OVERDOSE;

D O I：

10.1016/S0196-0644(05)80897-2

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Diphenhydramine poisoning is characterized most often by anticholinergic effects. Cardiotoxicity and circulatory collapse have rarely been reported after massive ingestions of diphenhydramine and other H-1-receptor-blocking agents, although these substances have local anesthetic properties and have been studied as antiarrhythmics. We report the case of a patient who developed a wide-complex tachycardia as a complication of acute diphenhydramine poisoning that responded to IV sodium bicarbonate.

引用

页码：318 / 321

页数：4

共 20 条

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