Taquicardia ventricular polimorfa asociada a intoxicación por organofosforados / Ventricular arrhythmias associated with organophosphorus insecticide poisoning

A continuación se presenta un caso de taquicardia ventricular polimorfa (Torsade de Pointes) y QT prolongado asociado a intoxicación aguda con Parathion, la cual revirtió a ritmo sinusal exitosamente con sulfato de magnesio, siendo hasta el momento el primero que se reporta

[The prognosis of the course of endogenous intoxication in emergency surgery]. / Prognozirovanie techeniia éndogennoi intoksikatsii v neotlozhnoi khirurgii.

On the basis of an analysis of 256 patients with diffuse peritonitis, destructive pancreatitis, mechanical jaundice and purulent cholangitis and complex investigations it was established that the degree of clinical manifestations of endointoxication corresponded to a definite degree of disorders of the central nervous system. The most adequate indices of the course and prognosing the toxic process are thought to be the level of the leukocytic index of intoxication, the prothrombin index, the degree of monocytopenia and proteinuria. Their dynamics reflects changes of the concentration of toxic intermediary metabolites and main characteristics of electron paramagnetic resonance of blood plasma.