肾上素的肾上腺素中毒应该如何治疗

2025-03-15 15:28:00
推荐回答(1个)
回答1:

出现中毒症状,立即停药。注射过量时,立即于注射部位上方暂时结扎止血带,以延缓药物吸收。血压过高时,可选用速效的血管扩张药物如亚硝酸异戊酯吸入或硝酸甘油片舌下含化;或酌用酚苄明0.5~1mg/kg,加于5%葡萄糖液250~500ml中静脉滴注。亦可先用酚妥拉明,继用冬眠灵维持降压效果。血压中度增高而心率快时,可用利血平。如有心室颤动,应迅速进行药物除颤或电击除颤;效果不佳时,可用人工心脏起搏器。如有去甲肾上腺素局部外漏或早期坏死,可用0.5%~1%普鲁卡因溶液5~10ml在坏死处上部或渗漏处周围作局部封闭;亦可用妥拉苏林10~25mg或酚妥拉明5mg溶于1%普鲁卡因或生理盐水10~20ml内作局部封闭,若加入透明质酸酶1000 ~1500u,效果更好。同时保护创面使不受感染。

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