Lee Jung M, Kodsi Sylvia R, Gaffar Majida A, Rubin Steven E
North Shore-LIJ Health Systems, Hofstra North Shore-LIJ School of Medicine.
North Shore-LIJ Health Systems, Hofstra North Shore-LIJ School of Medicine.
J AAPOS. 2014 Apr;18(2):183-4. doi: 10.1016/j.jaapos.2013.11.010.
Eyedrops used for mydriasis and cycloplegia can be systemically absorbed, causing serious side effects, including oxygen desaturation, apnea, bradycardia, transient hypertension, delayed gastric emptying, and transient paralytic ileus. These effects can be more serious in infants because of their lower body mass and immature cardiovascular and nervous systems. We report a case of a 27-week-old infant who suffered a cardiopulmonary arrest after the administration of only Cyclomydril eyedrops (Alcon Laboratories, Fort Worth, TX) during an outpatient retinopathy of prematurity examination.
用于散瞳和睫状肌麻痹的眼药水可被全身吸收,引起严重的副作用,包括氧饱和度降低、呼吸暂停、心动过缓、短暂性高血压、胃排空延迟和短暂性麻痹性肠梗阻。由于婴儿体重较低且心血管和神经系统发育不成熟,这些影响在婴儿中可能更严重。我们报告一例27周龄婴儿,在门诊早产儿视网膜病变检查期间仅使用了Cyclomydril眼药水(爱尔康实验室,沃思堡,德克萨斯州)后发生心肺骤停。