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两名气道阻塞老年患者可能因茶碱导致永久性脑损伤。

Permanent brain damage possibly caused by theophylline in two elderly patients with airway obstruction.

作者信息

Sekizawa K, Aikawa T, Yanai M, Itabashi S, Fukushima T, Sasaki H

机构信息

Department of Geriatric Medicine, Tohoku University School of Medicine, Sendai.

出版信息

Tohoku J Exp Med. 1990 Dec;162(4):303-7. doi: 10.1620/tjem.162.303.

DOI:10.1620/tjem.162.303
PMID:2102563
Abstract

Two aged patients with bronchial asthma and chronic obstructive pulmonary disease who suffered convulsions that resulted in permanent brain damage during treatment with the recommended therapeutic dose of theophylline are presented here. A dose or concentration of theophylline lower than the recommended one should be considered in the treatment of some aged patients with pulmonary obstructive disease.

摘要

本文报告了两名患有支气管哮喘和慢性阻塞性肺疾病的老年患者,他们在使用推荐治疗剂量的茶碱进行治疗期间发生惊厥,导致永久性脑损伤。在治疗一些患有肺部阻塞性疾病的老年患者时,应考虑使用低于推荐剂量或浓度的茶碱。

相似文献

1
Permanent brain damage possibly caused by theophylline in two elderly patients with airway obstruction.两名气道阻塞老年患者可能因茶碱导致永久性脑损伤。
Tohoku J Exp Med. 1990 Dec;162(4):303-7. doi: 10.1620/tjem.162.303.
2
[Encephalopathy, convulsions and hypopotassemia in theophylline poisoning: a case analysis].[茶碱中毒所致脑病、惊厥与低钾血症:一例分析]
Arch Bronconeumol. 1995 Aug-Sep;31(7):368-70.
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[Levels of blood theophylline in patients with acute bronchospasm].[急性支气管痉挛患者的血茶碱水平]
Rev Clin Esp. 1989 May;184(9):470-2.
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Management of chronic airway obstruction: theophylline--is it still necessary?
Lung. 1990;168 Suppl:627-33. doi: 10.1007/BF02718187.
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[Theophylline in treatment of bronchial obstructive diseases].[茶碱在支气管阻塞性疾病治疗中的应用]
Wiad Lek. 1998;51(3-4):117-21.
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Theophylline in asthma and COPD: changing perspectives and controversies.哮喘与慢性阻塞性肺疾病中的茶碱:不断变化的观点与争议
Geriatrics. 1991 Apr;46(4):55-6, 61-5.
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[The comparative efficacy of the prolonged-action theophylline preparations Theopek and Euphylong in elderly patients with chronic obstructive lung diseases].[长效茶碱制剂Theopek和Euphylong在老年慢性阻塞性肺疾病患者中的疗效比较]
Ter Arkh. 1993;65(8):41-4.
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Managing asthma and COPD in patients with cardiovascular disease.心血管疾病患者的哮喘和慢性阻塞性肺疾病管理
Geriatrics. 1985 Jul;40(7):45-9.
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Theophylline kinetics and ventilatory flow in bronchial asthma and chronic airflow obstruction: influence of erythromycin.支气管哮喘和慢性气流阻塞中茶碱动力学与通气流量:红霉素的影响
Clin Pharmacol Ther. 1982 May;31(5):579-86. doi: 10.1038/clpt.1982.81.
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Evaluation of the effectiveness and safety of a controlled-release theophylline in patients with reversible and stable bronchial obstruction.对控释茶碱在可逆性稳定支气管阻塞患者中的有效性和安全性进行评估。
Int J Clin Pharmacol Res. 1987;7(5):337-44.

引用本文的文献

1
Theophylline. Current thoughts on the risks and benefits of its use in asthma.茶碱。关于其在哮喘治疗中应用的风险与益处的当前观点。
Drug Saf. 1993 Jan;8(1):12-8. doi: 10.2165/00002018-199308010-00003.