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麦角胺诱发的上肢缺血：一例报告。

Ergotamine-induced upper extremity ischemia: a case report.

作者信息

Kim Man Deuk, Lee Gun, Shin Sung Wook

机构信息

Department of Diagnostic Radiology, Bundang CHA General Hospital, Pochon CHA University, Kyonggi-do, Korea.

出版信息

Korean J Radiol. 2005 Apr-Jun;6(2):130-2. doi: 10.3348/kjr.2005.6.2.130.

DOI:10.3348/kjr.2005.6.2.130
PMID:15968153
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2686421/
Abstract

Ergotamine-induced limb ischemia is an extremely rare case. We present a case of a 64-year-old man, who developed ischemia on the right upper extremity due to long-term use of Ergot for migraine headache. Angiography revealed diffused, smooth, and tapered narrowing of the brachial artery. The patient was successfully treated with intravenous nitroprusside.

摘要

麦角胺引起的肢体缺血是极为罕见的病例。我们报告一例64岁男性，因长期使用麦角治疗偏头痛而出现右上肢缺血。血管造影显示肱动脉弥漫性、平滑且逐渐变细的狭窄。该患者通过静脉注射硝普钠成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbd6/2686421/eb31cc172064/kjr-6-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbd6/2686421/eb31cc172064/kjr-6-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbd6/2686421/eb31cc172064/kjr-6-130-g001.jpg

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1
Ergotamine-induced upper extremity ischemia: a case report.麦角胺诱发的上肢缺血：一例报告。
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2
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引用本文的文献

1
A potentially lethal interaction: Migraine, human immunodeficiency virus and ergotism - A primary care case report.一种潜在的致命相互作用：偏头痛、人类免疫缺陷病毒与麦角中毒——一份初级保健病例报告。
Malays Fam Physician. 2025 Feb 8;20:7. doi: 10.51866/cr.748. eCollection 2025.

本文引用的文献

1
Ergotism associated with HIV antiviral protease inhibitor therapy.与HIV抗病毒蛋白酶抑制剂治疗相关的麦角中毒。
J Vasc Surg. 2003 Mar;37(3):676-8. doi: 10.1067/mva.2003.80.
2
Chronic ergot toxicity: A rare cause of lower extremity ischemia.慢性麦角中毒：下肢缺血的罕见病因。
J Vasc Surg. 2000 Jun;31(6):1245-7. doi: 10.1067/mva.2000.105668.
3
Acute upper extremity ischemia during concomitant use of ergotamine tartrate and ampicillin.
Ann Vasc Surg. 1997 Jul;11(4):420-4. doi: 10.1007/s100169900072.
4
Erythromycin-associated ergotamine intoxication: arteriographic and electrophysiologic analysis of a rare cause of severe ischemia of the lower extremities and associated ischemic neuropathy.
Ann Vasc Surg. 1993 May;7(3):291-6. doi: 10.1007/BF02000258.
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Recent advances in migraine management.
J Fam Pract. 1993 Jan;36(1):85-91.
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Successful treatment of ergotism with nifedipine.硝苯地平成功治疗麦角中毒。
AJR Am J Roentgenol. 1984 Aug;143(2):333-4. doi: 10.2214/ajr.143.2.333.
7
Reversal of ergotamine-induced arteriospasm by mechanical intra-arterial dilatation.
Lancet. 1980 Dec 13;2(8207):1278-9. doi: 10.1016/s0140-6736(80)92339-9.
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Angiography in ergotism. Report of two cases and review of the literature.
Am J Roentgenol Radium Ther Nucl Med. 1972 Sep;116(1):179-86. doi: 10.2214/ajr.116.1.179.
9
Recognition and treatment of arterial insufficiency from cafergot.麦角胺咖啡因所致动脉供血不足的识别与治疗
J Vasc Surg. 1986 Jul;4(1):8-15.
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Sodium nitroprusside in the treatment of ergotism.
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