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过犹不及?肾上腺素试验

Too much of a good thing, is it bad? Adrenaline on trial.

作者信息

Sood Jai-deep, Empson Marianne, Fitzharris Penny, Stewart Jim

机构信息

Auckland City Hospital, Auckland.

出版信息

N Z Med J. 2007 Apr 13;120(1252):U2494.

Abstract

Adrenaline is vital in the treatment of severe allergic reactions (anaphylaxis), however it is often underutilised or inappropriately administered. Adrenaline treatment is not without risk and most adverse reactions to adrenaline occur when it is given in overdose or as an intravenous bolus. We report a case of myocardial injury and hypotension following inappropriate administration of adrenaline.

摘要

肾上腺素在严重过敏反应(过敏性休克)的治疗中至关重要,然而它常常未得到充分利用或使用不当。肾上腺素治疗并非毫无风险,大多数对肾上腺素的不良反应发生在用药过量或静脉推注时。我们报告一例因肾上腺素使用不当导致心肌损伤和低血压的病例。

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