一名重症患者因使用异丙托溴铵继发单侧瞳孔散大。
Unilateral mydriasis secondary to ipratropium bromide in a critically ill patient.
作者信息
Santana-Cabrera Luciano, Fernández-Tagarro Ernesto José, Del Amo-Nolasco Beatriz, Jaén-Sánchez Nieves, Cáceres-Agra Juan José
机构信息
Department of Intensive Care, Universitary Hospital Insular in Gran Canaria, Las Palmas de Gran Canaria, Spain.
出版信息
J Emerg Trauma Shock. 2012 Apr;5(2):199-200. doi: 10.4103/0974-2700.96499.
Abstract
Unilateral dilated pupil in a critical patient under sedation is an important clinical sign that requires prompt evaluation. An exhaustive assessment must be performed, including neurological examination and imaging tests, and pharmacological causes must be ruled out. We describe a case of unilateral fixed dilated pupil secondary to the administration of a nebulized cholinergic antagonist, ipratropium bromide, in an unconscious patient.
摘要
在接受镇静的重症患者中，单侧瞳孔散大是一个需要迅速评估的重要临床体征。必须进行全面评估，包括神经系统检查和影像学检查，并且必须排除药物性原因。我们描述了一例在一名昏迷患者中，因雾化吸入胆碱能拮抗剂异丙托溴铵而继发单侧固定性瞳孔散大的病例。
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