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[急性非过敏性血管性水肿。重症监护病房收治的罕见病因]

[Acute non-allergic angioedema. Rare cause for intensive care unit admission].

作者信息

van der Heide V, Woehrle T, Ripperger M, Huge V

机构信息

Klinik für Anaesthesiologie, Universität München, Standort Großhadern, Marchioninistr. 15, 81377, München, Deutschland,

出版信息

Anaesthesist. 2015 Aug;64(8):569-73. doi: 10.1007/s00101-015-0055-1. Epub 2015 Jul 21.

Abstract

Angiotensin-converting enzyme (ACE) inhibitor-induced angioedema usually follows an uneventful clinical course; however, if upper airway structures are involved, life-threatening complications may develop. Thus, affected patients should be carefully monitored in an intensive care unit and, if need be, the airway has to be secured early on. This case report discusses diagnostic and therapeutic approaches in a patient with suspected ACE inhibitor-induced angioedema, who had initially been admitted for neoadjuvant radiochemotherapy of rectal cancer.

摘要

血管紧张素转换酶(ACE)抑制剂引起的血管性水肿通常临床过程平稳;然而,如果累及上呼吸道结构,可能会出现危及生命的并发症。因此,应在重症监护病房对受影响的患者进行仔细监测,如有必要,必须尽早确保气道安全。本病例报告讨论了一名疑似ACE抑制剂引起的血管性水肿患者的诊断和治疗方法,该患者最初因直肠癌新辅助放化疗入院。

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