洛佩拉胺中毒导致死亡:一个案例报告和文献综述
Bowen Wang1, Zhan Zhang1, Ke Chen2
1Department of Cardiovascular Medicine, Gansu Provincial Hospital, Lanzhou, China.
Frontiers in pharmacology
|September 8, 2025
概括
洛佩拉胺过量服用可能导致致命的心脏毒性和中枢神经系统抑郁. 一项案例研究突出显示,一名青少年因一次大剂量洛佩拉米德中毒致死,强调了临床意识的必要性.
科学领域:
- 毒理学 毒理学 毒理学
- 药理学 药理学是指药理学的学科.
- 心脏病学 心脏病学
背景情况:
- 洛佩拉胺通常用于腹,在治疗剂量时被认为是安全的.
- 滥用和过量服用洛佩拉米德引起了有关心脏毒性和中枢神经系统抑郁的担忧.
- 近年来,洛佩拉胺滥用和相关不良事件的报道增加了.
研究的目的:
- 报告一个15岁男孩中毒洛佩拉的致命病例.
- 讨论洛佩拉胺诱导心脏毒性的机制,临床表现和治疗.
- 为了提高临床医生对洛佩拉胺中毒风险的认识.
主要方法:
- 一个15岁的男性中毒洛佩拉的案例报告.
- 关于洛佩拉胺毒性的相关医学文献的审查.
- 对临床表现,心电图发现和药物度的分析.
主要成果:
- 患者摄入了60毫克的洛佩拉米德,导致呼吸和心脏骤停.
- 心电图显示了显著的QTc间隔延长.
- 血中洛佩拉胺度为50 ng/mL,证实了心脏毒性.
结论:
- 洛佩拉米德可以引起严重的心脏毒性和中枢神经系统抑郁,即使是在单次大剂量后.
- 对于洛佩拉胺中毒,及时识别和管理至关重要.
- 临床医生必须意识到滥用和过量服用洛佩拉的潜在危险.
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