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題 名 | Clinical Course of Successful Treatment of Severe Digoxin Intoxication in a Uremic Patient Committing Suicide--Case Report=治療一位尿毒症病人服用Digoxin 企圖自殺導致Digoxin中毒之臨床病程一病例報告 |
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作 者 | 郭弘典; 張哲銘; 黃尚志; 賴永勳; | 書刊名 | 中華民國腎臟醫學會雜誌 |
卷 期 | 11:1 1997.03[民86.03] |
頁 次 | 頁40-46+56 |
分類號 | 415.816、415.816 |
關鍵詞 | 尿毒症病人; 自殺; 中毒; Digoxin intoxication; Extra-renal excretion; Suicide; |
語 文 | 英文(English) |
英文摘要 | Uremic patients who receive maintenance hemodialysis for a very long time are usually found to have subclinical depression and suicidal ideas. We present a uremic patient hemodialyzed for more than 20 years who took 4.5 mg of digoxin to commit suicide. He was sent to emergency service and the serum digoxin level was 11.82 ng/ml. Digoxin intoxication was impressed and manifested itself with nausea, vomiting, yellowish vision, and most seriously, profound shock due to bradyarrhythmia. He was admitted to Coronary Care Unit and a temporary paccemaker was inserted for hemodynamic support. Specific digoxin antibody was not available and cholestyramine was prescribed to enhance the excretion of digoxin. Hemodialysis was performed on schedule. The digoxin level decreased to below 2 ng/ml after treatment for 7 days. Hyperkalemia was noted in the first few days of admission period. The patient discharged in a good condition. A absorbed digoxin is mostly deposited in the lean muscle mass and the excretion of digoxin is significantly delayed in patients with impaired renal function. Therefore, hemodialysis has only limited effect on the excretion of digoxin. Our patient presented a rare chance for the clinicians to observe the course of digoxin metabolism when the major organ responsible for digoxin excretion failed. Temporary pacemaker and careful hemodynamic monitoring are mandatory life-saving measures once the specific antibody is not available. Furthermore, more attention should be paid to the psychiatric condition of patients who are dialyzed for a very long time. |
本系統中英文摘要資訊取自各篇刊載內容。