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大剂量羟钴胺素治疗血管扩张性休克。

The use of high-dose hydroxocobalamin for vasoplegic syndrome.

机构信息

Department of Anesthesiology, Virginia Commonwealth University Medical Center, Richmond, Virginia.

Department of Anesthesiology, Virginia Commonwealth University Medical Center, Richmond, Virginia.

出版信息

Ann Thorac Surg. 2014 May;97(5):1785-6. doi: 10.1016/j.athoracsur.2013.08.050.

Abstract

We describe a case of hypotension on cardiopulmonary bypass for coronary artery bypass grafting, double valve repairs, and patent foramen ovale closure. The patient experienced vasoplegic syndrome while on cardiopulmonary bypass. He was treated with high-dose hydroxocobalamin (vitamin B12). His blood pressure responded rapidly, obviating any further vasopressor requirements.

摘要

我们描述了一例在体外循环下行冠状动脉旁路移植术、双瓣修复术和卵圆孔未闭关闭术时出现低血压的病例。该患者在体外循环期间发生血管麻痹综合征。他接受了大剂量羟钴胺(维生素 B12)治疗。他的血压迅速恢复,避免了任何进一步的升压需求。

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