从刺痛到心脏起器:在黄子中毒后,一个完全心脏阻塞的案例 - 一个案例报告
Mohammad Javad Zibaeenezhad1, Zahra Alizadeh1,2, Ali Rajabi3
1Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Journal of medical case reports
|November 28, 2025
概括
黄子刺伤很少会导致完全心房 (AV) 阻塞,这是一种严重的心脏病. 及时识别和管理这种罕见的并发症对于患者的生存至关重要.
科学领域:
- 心脏病学 心脏病学
- 毒理学 毒理学 毒理学
- 紧急医疗 紧急医疗
背景情况:
- 子中毒是热带/亚热带地区的重大健康问题.
- 心血管并发症是子的严重表现.
- 完全心房静脉阻塞 (AV) 是一种罕见但严重的心脏并发症.
研究的目的:
- 报告一个独特的病例,在黄子刺伤后,心脏完全受阻.
- 强调早期识别和治疗这种罕见并发症的重要性.
主要方法:
- 一名56岁的男性出现了昏迷和子刺痛后的胸肌梗塞.
- 电心电图显示完整的AV阻塞;心脏生物标志物升高.
- 管理包括临时节奏,液体,氨酸和心脏监测.
主要成果:
- 患者经历了心肌损伤和左心室功能障碍.
- 暂时的透静脉节奏稳定了血液动力学.
- 导电异常得到解决,并植入了一个永久的起器.
结论:
- 子中毒可以导致严重的心脏并发症,如完全的AV阻塞.
- 医疗保健提供者必须意识到这种罕见的,危及生命的可能性.
- 及时干预可以显著改善患者的预后.
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