Profound circulatory shock following heroin overdose

被引：6

作者：

Remskar, M ^{[1
]}

Noc, M ^{[1
]}

Leskovsek, B ^{[1
]}

Horvat, M ^{[1
]}

机构：

[1] Univ Ljubljana, Med Ctr, Ctr Intens Internal Med, Ljubljana 1000, Slovenia

来源：

RESUSCITATION | 1998年 / 38卷 / 01期

关键词：

circulatory shock; heroin overdose; myocardial depression;

D O I：

10.1016/S0300-9572(98)00065-3

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A 17-year-old previously healthy girl with profound circulatory shock following a heroin overdose is reported. Except for opiates no other substances and specifically no cocaine were found in the blood and urine samples. Even though the mechanism of shock is not completely understood, severe depression of left ventricular contractility seems to be the predominant reason. Acute right heart failure with decreased pulmonary capillary wedge pressure and arterial vasodilatation resulting in maldistribution of cardiac output cannot be ruled out as possible contributing factors. The shock was successfully reversed with volume loading and a high dose of dobutamine. The recovery was uneventful and the patient was discharged with normal cardiac function. (C) 1998 Elsevier Science Ireland Ltd. All rights reserved.

引用

页码：51 / 53

页数：3

共 6 条

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[4]

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