According to information from Thanh Hoa General Hospital, the patient was hospitalized with a very critical manifestation, vomiting and abdominal pain accompanied by shortness of breath, cold skin, blood pressure drop 60/40 mmHg, ultrasoundHeart function is greatly reduced.
As soon as the hospital was admitted, the patient was compensated, using two high -dose vasoconstrictors to raise blood pressure but responded very poorly.The patient's family said that he had no history of suffering from the disease, nowadays have fever, headache should be given the flu medication.
Artwork
Through meticulous examination and the use of subclinical techniques, doctors have eliminated the cause of cardiovascular collapse due to pathology that thinks a lot due to drug poisoning.By professional measures that combine the psychological encouragement of the patient, the patient reported to the doctor that before the hospital was taken a day, there were 100 amlodipin hypotension pills 5mg (a medication for hypertension)With suicide intentions.
Immediately doctors on duty of the Department of Positive Resuscitation 1 - Anti -toxic anti -toxic managed under the calcium channel blockage regimen.After 2 days of active treatment, the patient's blood pressure is improved, the heart function increases gradually, reduces vasoconstriction.
However, the vasodilation effect of calcium channel blockers has caused multi -membrane overflow (a lot of pleural fluid and peritoneal), accompanied by acute heart failure to make steaming severe steaming.Therefore, patients must not invade and are driven by pleural fluid.
After 10 days of being cared for by the doctors, the patient recovered and was discharged from the hospital
Master, Doctor Do Minh Thai, Head of Positive Resuscitation Department 1-Poisoning, Thanh Hoa General Hospital said that Amlodipin is a prescribed drug quite often in the treatment of hypertension.However, when using overdose will have side effects such as headache, dizziness, fatigue, chest drum, cramps ... In this case, this patient at the same time using a large amount of amlodipine drugs (total dosage 500mg)Causing severe circulatory impairment and high risk of death.This is a difficult case because she is still young, not related to the use of blood pressure, especially symptoms of fever, headache and flu drugs at home previously deceived the physician in another diagnostic direction..However, with skills and experience, the emergency recovery doctors quickly find the cause and timely treatment to help him restore health completely in a short time.
According to Dr. Thai, the unit has saved many cases of adolescents committing suicide with medicine.In addition, some cases of patients do not survive or leave a serious sequelae, become a burden for themselves, their families and society.
"The younger age is not stable, it is easy to lose control of behavior when having school pressure, friends, family and social life pressure. Therefore, parents, family, teachers and teachers, relatives need to care, close and spend a lot of time with their children, promptly grasp their feelings, aspirations and help their children overcome the psychological crisis of the older age, "Dr. Do Minh Thai said.