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酚妥拉明治疗可卡因相关性急性冠状动脉综合征(CAACS)。

Phentolamine therapy for cocaine-association acute coronary syndrome (CAACS).

作者信息

Chan Gar Ming, Sharma Rahul, Price Dennis, Hoffman Robert S, Nelson Lewis S

机构信息

Department of Emergency Medicine, North Shore University Hospital, New York University School of Medicine, 300 Community Drive, Manhasset, NY 10030, USA.

出版信息

J Med Toxicol. 2006 Sep;2(3):108-11. doi: 10.1007/BF03161019.

Abstract

INTRODUCTION

The emergency department (ED) evaluation of cocaine-associated acute coronary syndrome (CAACS) is often a diagnostic and therapeutic challenge.

CASE REPORT

We are reporting on the treatment of a patient with cocaine-associated acute coronary syndrome (CAACS) who did not benefit from standard therapy, but who eventually responded positively to phentolamine, an alpha-adrenergic receptor antagonist.

DISCUSSION

This report should encourage physicians to add phentolamine to their pharmacotherapeutic armamentarium in the treatment of CAACS.

摘要

引言

急诊科对可卡因相关性急性冠状动脉综合征(CAACS)的评估常常是一项诊断和治疗挑战。

病例报告

我们报告了一名可卡因相关性急性冠状动脉综合征(CAACS)患者的治疗情况,该患者未从标准治疗中获益,但最终对α-肾上腺素能受体拮抗剂酚妥拉明产生了积极反应。

讨论

本报告应鼓励医生在治疗CAACS时将酚妥拉明纳入其药物治疗手段中。

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