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題名 | Cardiogenic Shock in a Patient with Glyphosate-Surfactant Poisoning=年年春中毒病人引起心因性休克 |
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作者姓名(中文) | 林繼謨; 賴嘉珀; 方德昭; 林俊龍; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 98:10 1999.10[民88.10] |
頁次 | 頁698-700 |
分類號 | 415.319 |
關鍵詞 | 年年春中毒; 心因性休克; Glyphosate-surfactant poisoning; Hypovolemic shock; Cardiovascular suppression; Cardiogenic shock; |
語文 | 英文(English) |
英文摘要 | We present a case of glyphosate-induced cardiogenic shock in a young man. The patient a 26-year-old man, presented with nausea and vomiting 4 hours after attempting suicide by drinking 150 mL of glyphosate surfactant. Cardiogenic shock with accelerated idio-ventricular rhythm on electrocardiography developed after admission. Intravenous injection of epinephrine, atropine, and calcium failed to improve the condition. Over the next 16 hours, the QRS complex gradually narrowed, sinus rhythm returned, and the hemodynamic status improved. Echocardiograms revealed diffuse left evntricular hypokinesis with markedly reduced ejection fraction while the patient was in shock; normal left ventricular function resumed the next day. In this case, the glyphosate surfactant poisoning-induced shock may have been due to transient suppression of the cardiac conduction system and contractility, rather than intravascular hypovolemia. |
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