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昂丹司琼致致命性室性心动过速。

Ondansetron induced fatal ventricular tachycardia.

机构信息

Department of Pediatrics, Sri Devaraj Urs Medical College, Tamaka, Kolar, Karnataka, India.

出版信息

Indian J Pharmacol. 2008 Aug;40(4):186-7. doi: 10.4103/0253-7613.43168.

DOI:10.4103/0253-7613.43168
PMID:20040955
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2792616/
Abstract

Ondansetron is a serotonin receptor antagonist used widely in the prophylaxis and treatment of postoperative nausea and vomiting (PONV) and vomiting associated with cancer chemotherapy. The common side effects of ondansetron are fever, malaise, diarrhoea, constipation, and allergic reactions. Extra-pyramidal reactions are rare and cardiovascular side effects are even rarer. Even though its clinical safety has been established in a large number of studies, its adverse effects have been reported and these include cardiovascular events like acute myocardial ischemia and arrhythmias in adults.([1]) Studies of its adverse effects in children are few. We report a rare adverse effect of ondansetron in a 14-year-old girl, presenting as ventricular tachycardia.

摘要

昂丹司琼是一种广泛用于预防和治疗术后恶心和呕吐(PONV)以及与癌症化疗相关的呕吐的 5-羟色胺受体拮抗剂。昂丹司琼的常见副作用有发热、不适、腹泻、便秘和过敏反应。锥体外系反应罕见,心血管副作用更罕见。尽管其在大量研究中已确立了临床安全性,但也有报道称其存在不良反应,包括成人的心血管事件,如急性心肌缺血和心律失常。([1]) 关于其在儿童中的不良反应研究较少。我们报告了一例 14 岁女孩使用昂丹司琼后出现罕见的不良反应,表现为室性心动过速。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92f2/2792616/489649757896/IJPharm-40-186-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92f2/2792616/489649757896/IJPharm-40-186-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92f2/2792616/489649757896/IJPharm-40-186-g001.jpg

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1
Ondansetron induced fatal ventricular tachycardia.昂丹司琼致致命性室性心动过速。
Indian J Pharmacol. 2008 Aug;40(4):186-7. doi: 10.4103/0253-7613.43168.
2
Effects of ondansetron in the prevention of postoperative nausea and vomiting in children.昂丹司琼预防儿童术后恶心呕吐的效果
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10
Comparison of vestipitant with ondansetron for the treatment of breakthrough postoperative nausea and vomiting after failed prophylaxis with ondansetron.比较 vestipitant 与昂丹司琼治疗昂丹司琼预防失败后的突破性术后恶心呕吐。
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2
Evaluation of cardiac indices using M-mode echocardiography after administration of metoclopramide and ondansetron in donkeys (): an experimental study.在驴身上给予胃复安和昂丹司琼后使用M型超声心动图评估心脏指数():一项实验研究。 (注:括号内原文内容不完整)
Front Vet Sci. 2023 Aug 23;10:1189710. doi: 10.3389/fvets.2023.1189710. eCollection 2023.
3
A Rare Case of Bradycardia and Hypotension Following Administration of Ondansetron to a Patient During Spinal Fixation Surgery.

本文引用的文献

1
Atrial fibrillation after ondansetron for the prevention and treatment of postoperative nausea and vomiting: a case report.昂丹司琼用于预防和治疗术后恶心呕吐后发生心房颤动:一例病例报告
Can J Anaesth. 2003 Mar;50(3):229-31. doi: 10.1007/BF03017789.
2
Ondansetron decreases vomiting associated with acute gastroenteritis: a randomized, controlled trial.昂丹司琼可减少急性胃肠炎相关的呕吐:一项随机对照试验。
Pediatrics. 2002 Apr;109(4):e62. doi: 10.1542/peds.109.4.e62.
3
A randomized clinical trial comparing oral ondansetron with placebo in children with vomiting from acute gastroenteritis.
脊柱固定手术期间给一名患者使用昂丹司琼后出现心动过缓和低血压的罕见病例。
Cureus. 2023 Jan 31;15(1):e34449. doi: 10.7759/cureus.34449. eCollection 2023 Jan.
4
Bradycardia After Intravenous Ondansetron with Asystole on Rechallenge: A Case Report.静脉注射昂丹司琼后出现心动过缓且再次用药时出现心搏停止:一例报告
Hosp Pharm. 2015 Nov;50(10):918-921. doi: 10.1310/hpj5010-918. Epub 2015 Nov 19.
5
Efficacy of prophylactic intravenous ondansetron on the prevention of hypotension during cesarean delivery: a dose-dependent study.预防性静脉注射昂丹司琼对剖宫产术中预防低血压的疗效:一项剂量依赖性研究。
Int J Clin Exp Med. 2014 Dec 15;7(12):5210-6. eCollection 2014.
6
[Low-dose droperidol in children: rescue therapy for persistent postoperative nausea and vomiting].[低剂量氟哌利多用于儿童:持续性术后恶心呕吐的挽救治疗]
Anaesthesist. 2012 Jan;61(1):30-4. doi: 10.1007/s00101-011-1962-4. Epub 2012 Jan 12.
7
Rate of administration of intravenous ondansetron.静脉注射昂丹司琼的给药速率。
Indian J Anaesth. 2011 Jul;55(4):426-7. doi: 10.4103/0019-5049.84827.
8
Symptomatic sinus bradycardia: A rare adverse effect of intravenous ondansetron.症状性窦性心动过缓:静脉注射昂丹司琼的一种罕见不良反应。
Saudi J Anaesth. 2011 Jan;5(1):96-7. doi: 10.4103/1658-354X.76492.
一项比较口服昂丹司琼与安慰剂对急性胃肠炎呕吐儿童疗效的随机临床试验。
Ann Emerg Med. 2002 Apr;39(4):397-403. doi: 10.1067/mem.2002.122706.
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