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[免疫球蛋白治疗的不良反应]

[Adverse effects of immunoglobulin therapy].

作者信息

Šutová Iva, Chovancová Zita, Litzman Jiří

出版信息

Vnitr Lek. 2019 Winter;65(2):131-132.

Abstract

Immunoglobulin products contain specific antibodies in IgG class which are directed against wide range of pathogens. These products are obtained from plasma of healthy donors. Immunoglobulin derivates can be administrated by intravenous or subcutaneous route in substitution or immunomodulation indications. The administration can be accompanied by a risk of adverse events. The most common are pyretic reactions, chills, headache, nausea, malaise and muscle pain, nevertheless also severe systemic reactions can occur. Almost one third of the reactions appear during the first administration. The number and severity of reactions depends on administered dose, speed and the application way. Pre-existing comorbidities of the patients and presence of acute infection are also an important risk factors for adverse reactions. Therapy of side effects is mostly symptomatic.

摘要

免疫球蛋白产品含有IgG类特异性抗体,可针对多种病原体。这些产品取自健康供体的血浆。免疫球蛋白衍生物可通过静脉或皮下途径给药,用于替代或免疫调节适应症。给药可能伴有不良事件风险。最常见的是发热反应、寒战、头痛、恶心、不适和肌肉疼痛,不过也可能发生严重的全身反应。近三分之一的反应出现在首次给药期间。反应的数量和严重程度取决于给药剂量、速度和给药方式。患者先前存在的合并症以及急性感染的存在也是不良反应的重要危险因素。副作用的治疗大多是对症治疗。

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