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沙丁胺醇诱发的肌阵挛:一例报告。

Myoclonus induced by salbutamol: A case report.

作者信息

Montoya-Giraldo María Alejandra, Montoya Dayana Vanessa, Atehortúa David Alexander, Buendía Jefferson Antonio, Zuluaga Andrés Felipe

机构信息

Centro de Información y Estudio de Medicamentos y Tóxicos, Departamento de Farmacología y Toxicología, Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.

出版信息

Biomedica. 2018 Sep 1;38(3):303-307. doi: 10.7705/biomedica.v38i3.3813.

Abstract

Salbutamol is a β2 adrenergic agonist widely prescribed in patients with obstructive and restrictive lung diseases. The main side effects associated with its use are tachycardia and tremor. Myoclonus is an involuntary, irregular, abrupt, brief and sudden muscular contraction, which can be generalized, focal or multifocal. We report the case of a 61-year-old patient presenting with myoclonus difficult to treat who showed improvement only after the definitive discontinuation of the β2 adrenergic agonist. We describe the clinical findings, the interventions, and the outcomes related to the onset of myoclonus secondary to the use of salbutamol, as well as the possible genesis and importance of this adverse effect. We used the CARE guidelines to delineate the clinical case. Although myoclonus secondary to the use of different drugs has been described in the literature, as far as we know this is the fourth report of salbutamol-induced myoclonus to date.

摘要

沙丁胺醇是一种β2肾上腺素能激动剂,广泛用于治疗阻塞性和限制性肺部疾病患者。使用该药的主要副作用是心动过速和震颤。肌阵挛是一种不自主、不规则、突发、短暂且突然的肌肉收缩,可分为全身性、局灶性或多灶性。我们报告了一例61岁的患者,该患者出现难以治疗的肌阵挛,仅在最终停用β2肾上腺素能激动剂后症状才有所改善。我们描述了与使用沙丁胺醇继发肌阵挛相关的临床发现、干预措施及结果,以及这种不良反应可能的发生机制和重要性。我们使用CARE指南来描述该临床病例。尽管文献中已描述了使用不同药物继发的肌阵挛,但据我们所知,这是迄今为止第四例关于沙丁胺醇诱发肌阵挛的报告。

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