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丙氧芬中毒婴儿的血液透析

Hemodialysis in an infant with propoxyphene intoxication.

作者信息

Mauer S M, Paxson C L, von Hartizsch B, Buselmeier T J, Kjellstrand C M

出版信息

Clin Pharmacol Ther. 1975 Jan;17(1):88-92. doi: 10.1002/cpt197517188.

DOI:10.1002/cpt197517188
PMID:1122672
Abstract

A 10-month-old infant was treated with intensive supportive care and hemodialysis for severe propoxyphene intoxication. Dialysis clearance studies demonstrated that propoxyphene was removed from the serum at approximately 50% of the rate of blood urea nitrogen removal. Possibly because of tissue binding of the drug, the absolute quantity of propoxyphene removed by dialysis was small. The child survived the acute episode of intoxication but died of pulmonary complications several days later. The role of dialysis in propoxyphene intoxication remains to be established.

摘要

一名10个月大的婴儿因严重的丙氧芬中毒接受了强化支持治疗和血液透析。透析清除率研究表明,丙氧芬从血清中的清除速度约为血尿素氮清除速度的50%。可能由于药物与组织的结合,透析清除的丙氧芬绝对量很少。该患儿在急性中毒发作中幸存下来,但几天后死于肺部并发症。透析在丙氧芬中毒中的作用仍有待确定。

相似文献

1
Hemodialysis in an infant with propoxyphene intoxication.丙氧芬中毒婴儿的血液透析
Clin Pharmacol Ther. 1975 Jan;17(1):88-92. doi: 10.1002/cpt197517188.
2
Propoxyphene hydrochloride (Darvon) a report of two cases.
Clin Pediatr (Phila). 1973 Jul;12(7):402-4. doi: 10.1177/000992287301200808.
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Hemodialysis in an infant with propoxyphene intoxication.丙氧芬中毒婴儿的血液透析
Clin Pharmacol Ther. 1975 May;17(5):627-8. doi: 10.1002/cpt1975175627.
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Effect of hemodialysis on propoxyphene and norpropoxyphene concentrations in blood of anephric patients.
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Acute propoxyphene hydrochloride intoxication.急性盐酸丙氧芬中毒
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Massive intoxication with acetaminophen and propoxyphene: unexpected survival and unusual pharmacokinetics of acetaminophen.对乙酰氨基酚与丙氧芬的大量中毒:意外存活及对乙酰氨基酚异常的药代动力学
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A high propoxyphene concentration.高丙氧芬浓度。
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Acute poisoning with dextropropoxyphene. Clinical symptoms and plasma concentrations.右丙氧芬急性中毒。临床症状与血浆浓度。
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Severe acute propoxyphene overdose: plasma concentrations of propoxyphene and norpropoxyphene and the effect of dopamine on circulatory failure.严重急性丙氧芬过量:丙氧芬和去甲丙氧芬的血浆浓度以及多巴胺对循环衰竭的影响
Acta Anaesthesiol Scand. 1986 May;30(4):271-6. doi: 10.1111/j.1399-6576.1986.tb02411.x.

引用本文的文献

1
Drug therapy in patients undergoing haemodialysis. Clinical pharmacokinetic considerations.接受血液透析患者的药物治疗。临床药代动力学考量
Clin Pharmacokinet. 1984 Jan-Feb;9(1):42-66. doi: 10.2165/00003088-198409010-00003.
2
Pharmacokinetic evaluation of hemodialysis in acute drug overdose.
J Pharmacokinet Biopharm. 1978 Oct;6(5):427-42. doi: 10.1007/BF01062724.
3
Propoxyphene and norpropoxyphene tissue concentrations in fatalities associated with propoxyphene hydrochloride and propoxyphene napsylate.
Arch Toxicol. 1975 Oct 20;34(2):145-52. doi: 10.1007/BF00353315.