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asbryobvrz · Wysłany: Pią 11:15, 18 Mar 2011

So that continuity in children over the gentleman Ⅲ degree atrioventricular block

rioventricularblockresultingfromquisqualisfruitoverdoseinachild Jia Yu Long full week of age (Jingyang Orthopedic Hospital Medicine, Jing Yang, Shaanxi 713702) in the circle DOI: R282 Document code: B Article ID :1008-5734 (2006) 3-0213-01 income children male,[link widoczny dla zalogowanych], 8 years old. Because of dizziness ld, add 1 with convulsions, in August 28, 2002 6:00 pm admission. ld antecedent outside the hospital diagnosis of paroxysmal abdominal pain, Children to the hospital the same day morning feeling dizzy, eyes black. 0.5h before suddenly falling to the hospital, limb convulsions,[link widoczny dla zalogowanych], loss of consciousness, incontinence. After about 5 rain becoming a waking up, wake up after v. general weakness, dizziness, feeling significantly worse. Past physical health, no history of epilepsy, nearly 2 weeks history of Supreme respiratory tract infection and diarrhea. Healthy body during pregnancy, full-term birth, no birth asphyxia, birth trauma history, heart, lung and nervous system examination no positive signs, Jicha said ECG: ventricular escape rhythm (heart rate 36 times / min), electrical axis unbiased, Ⅲ degree atrioventricular block. Blood biochemistry: 4.8mmol / L,[link widoczny dla zalogowanych], Nl36mmol / L, C1-98mmol / L, Ca + +2.35 mmol / L. AST88U / L (normal 0U / L), CK286U / L (normal 24-195U, L), CK shed B65U / L (normal ~-24U / L),[link widoczny dla zalogowanych], LDH368U few (normal 109-245 muscle), HDBH248U / L (normal 72-182U / L). Immediate oxygen, ECG monitoring, intravenous infusion of aminophylline, Shengmai injection and other drugs. 8h suddenly after admission to the RR interval prolongation 2.88-3.12 seconds, a brief loss of consciousness, immediate installation of temporary pacemaker to continue to give the l week of drug treatment, independent of ventricular rate of 52 times / min, showed a junctional escape stroke rhythm, Ⅲ degree atrioventricular block is not restored. Since the hydroxyethyl starch-induced anaphylactic shock and death significantly reduce the symptoms of sleep, remove the temporary pacemaker may be slightly out of bed activities, review the ECG: junctional escape rhythm (ventricular rate 58 times / rain), Ⅲ degree atrioventricular block. Themselves for discharge, weekly follow-up after discharge. 2 and a half years ago, there was dizziness, 3 times is not soon relieved spontaneously, without syncope and seizure, Ⅲ degree atrioventricular block has not been restored, because of the economic moral one, not to install a permanent pacemaker. Discussion of the gentleman as pesticides, consumer product, the effectiveness of the spleen, the main component of the gentleman potassium, can cause gastrointestinal irritation and diaphragm spasm. Also due to respiratory depression and death. Adult usual dose 6-10 grams (8-10 teeth), the total does not exceed 20-30 tablets overdose can cause hiccups, vomiting, dizziness, headache, dizziness and discomfort, of which the most common hiccup, and rarely arrhythmias reported. The recent Supreme income children history of respiratory and intestinal infections can be ruled out the possibility of infectious myocarditis. Directions families because doctors did not quite understand account of the dosage oral intake of medication (about 5 times the dose commonly used in adults), the indicators were increased myocardial enzymes, suggesting that severe myocardial damage,[link widoczny dla zalogowanych], there toxic myocarditis, which leads to m degree atrioventricular block, Aspen syndrome caused by seizures, the mechanism is unclear. After active treatment, symptom relief, enzymes returned to normal, Ⅲ degree atrioventricular block has not been back to normal.