摘要
药物中毒致昏迷患者在入院时经常处于意识中断或意识完全丧失状态,不能提供有效信息,增加临床早期诊断和治疗难度。应用实验室分析方法对可能导致中毒的药物进行快速筛查与测定,可为临床诊疗提供重要依据,也能为救治争取宝贵时间。本文报道1例84岁女性患者服用艾司唑仑致昏迷案例,该患者入院诊断为急性脑梗死,给予抗凝及改善循环治疗,疗效不佳,后由药师进行药物筛查监测,证实为艾司唑仑所致药物中毒,经针对性治疗后,患者逐渐醒后出院。
Coma patients caused by drug poisoning are often in a state of interruption or complete loss of consciousness when they are admitted to the hospital,so they can't provide valid information which increases the difficulty of early clinical diagnosis and treatment.Rapid screening and determination of drugs that may cause poisoning through laboratory analysis methods can provide an important diagnosis basis for the clinical to treat the patients and strive for valuable time.This paper records an 84-year-old female patient who was comatose after taking estazolam.The patient was admitted to the hospital and diagnosed with acute cerebral infarction.Anticoagulation was given to improve circulation,but the patient'status was not obviously improved.After drug screening by pharmacists,it was confirmed that the patient was poisoned by estazolam.After targeted treatment,the patient gradually woke up and was discharged.
作者
郭思逊
海鑫
GUO Si-xun;HAI Xin(Department of Pharmacy,First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《临床药物治疗杂志》
2024年第1期82-84,共3页
Clinical Medication Journal
