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含有杂质的靛胭脂致低血压患者:一例报告。

Hypotension in patients administered indigo carmine containing impurities -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2011 Nov;61(5):435-8. doi: 10.4097/kjae.2011.61.5.435. Epub 2011 Nov 23.

DOI:10.4097/kjae.2011.61.5.435
PMID:22148095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3229025/
Abstract

Indigo carmine has been used for eight decades with few adverse effects. Several of our patients, however, experienced severe hypotensive episodes after indigo carmine administration within a period of one month. Analysis of the raw materials used to formulate the preparation of indigo carmine we used showed that they contained impurities. Following recall of these impure materials, none of our patients experienced further hypotensive episodes.

摘要

靛胭脂已经使用了近 80 年,很少有不良反应。然而,在一个月的时间内,我们有几位患者在使用靛胭脂后出现严重的低血压发作。对我们使用的靛胭脂制剂原料进行分析后发现,它们含有杂质。在召回这些不纯的材料后,我们的患者没有再出现低血压发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c656/3229025/cdf080d4b317/kjae-61-435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c656/3229025/ee2ad7182186/kjae-61-435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c656/3229025/cdf080d4b317/kjae-61-435-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c656/3229025/ee2ad7182186/kjae-61-435-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c656/3229025/cdf080d4b317/kjae-61-435-g002.jpg

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引用本文的文献

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本文引用的文献

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Indigo carmine-induced polymorphic supraventricular bigeminy.靛胭脂诱发的多形性室上性二联律。
Acta Anaesthesiol Scand. 2009 Mar;53(3):417-8. doi: 10.1111/j.1399-6576.2008.01877.x.
2
Suspected anaphylactic reactions associated with anaesthesia.疑似与麻醉相关的过敏反应。
Anaesthesia. 2009 Feb;64(2):199-211. doi: 10.1111/j.1365-2044.2008.05733.x.
3
Skin tests in the diagnosis of drug hypersensitivity reactions.皮肤试验在药物过敏反应诊断中的应用
Curr Pharm Des. 2008;14(27):2778-91. doi: 10.2174/138161208786369821.
4
Life-threatening reaction to indigo carmine--a sulfa allergy?靛胭脂的危及生命反应——是磺胺过敏吗?
Int Urogynecol J Pelvic Floor Dysfunct. 2005 Sep-Oct;16(5):418-9. doi: 10.1007/s00192-005-1323-4. Epub 2005 Jul 19.
5
Indigo carmine-induced bradycardia in a patient during general anesthesia.全身麻醉期间患者出现靛胭脂诱发的心动过缓。
Anesth Analg. 2001 Jan;92(1):276-7. doi: 10.1097/00000539-200101000-00056.
6
Life-threatening anaphylactoid reaction associated with indigo carmine intravenous injection.
Urology. 2000 Sep 1;56(3):508. doi: 10.1016/s0090-4295(00)00650-6.
7
Indigo carmine-induced severe hypotension.靛胭脂引起的严重低血压。
Anesth Analg. 1998 Nov;87(5):1194-5. doi: 10.1097/00000539-199811000-00040.
8
Impurities in drug substances and drug products: new approaches to quantification and qualification.原料药和制剂中的杂质:定量与定性的新方法
J Pharm Biomed Anal. 1995 Dec;14(1-2):7-12. doi: 10.1016/0731-7085(95)01573-6.
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Indigo carmine-induced severe hypotension in patients undergoing radical prostatectomy.靛胭脂在接受根治性前列腺切除术的患者中引起严重低血压。
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