Hansen Mads, Bjerg Jesper, Gilsaa Torben
Fredericia og Kolding Sygehuse, Anaestesi- og intensivafdeling F.
Ugeskr Laeger. 2007 May 7;169(19):1802-3.
The vasopressin analogue terlipressin (Glypressin) is generally considered an effective and safe treatment for acute oesophageal variceal haemorrhage. Safety is especially related to very few severe ischaemic side effects compared to those resulting from treatment with vasopressin. This case report describes reversible ischaemia in the colon and small intestine as seen by exploratory celiotomy in relation to treatment with terlipressin. The patient recovered fully without the need for intestinal resection.
血管加压素类似物特利加压素(Glypressin)通常被认为是治疗急性食管静脉曲张出血的一种有效且安全的方法。与使用血管加压素治疗所导致的副作用相比,其安全性尤其体现在极少出现严重缺血性副作用。本病例报告描述了与特利加压素治疗相关的、通过剖腹探查术所见的结肠和小肠可逆性缺血情况。患者完全康复,无需进行肠切除。