Two unusual cases of acute digoxin intoxication caused by accidental mistaken

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作者
Chen, S.-C. [1 ]
Jiao, S. [1 ]
He, G.-W. [1 ]
Lu, D.-H. [1 ]
Li, X.-H. [1 ]
Guo, M.-Y. [1 ]
机构
[1] Department of Pharmacy, Luhe Hospital, Beijing 101149, China
关键词
Concentration; (process); -; Electrocardiography; Potassium; Toxicity;
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摘要
OBJECTIVE: To observe the toxic manifestations of digoxin (DGX) in two children after orally overdose of DGX. METHODS: The clinical toxic symptoms and signs were observed. At the same time, the concentrations of DGX and potassium in serum were determined, the electrocardiogram (ECG) was recorded. RESULTS: After orally taking an overdose of DGX, the children showed continual vomiting, anorexia, fatigue, somnolence etc. Heart toxicity displayed brady arrhythmias: sinus standstill, sinoauricular block or atrioventricular block. The higher serum DGX concentration was, the worse its toxicity was. It was obvious that the above symptoms eased off while the serum DGX concentration decreased. When serum DGX concentration was below 3.0 μg &middot L-1, the above symptoms were almost disappeared. CONCLUSION: The acute toxicity of DGX in two children was mostly related to the systems of digestion, CNS and circulation. It showed especially heart toxicity and closely correlative with the serum DGX concentration.
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