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在使用泵进行促性腺激素释放激素脉冲式给药时,技术失误是治疗失败的容易避免的原因。

Technical mishaps as easily avoidable causes of treatment failure when using pumps for pulsatile administration of gonadotropin-releasing hormone.

作者信息

Schmidt K, Rosak C, Boehm B, Schifferdecker E, Althoff P H, Schoeffling K

出版信息

Klin Wochenschr. 1986 Sep 1;64(17):804-5. doi: 10.1007/BF01732192.

DOI:10.1007/BF01732192
PMID:3093755
Abstract

A patient (19 years old) with Kallmann's syndrome was treated with gonadotropin-releasing hormone (2.5-16 micrograms) administered subcutaneously every 2 h using a portable infusion pump. During 42 weeks of treatment testosterone levels and testicular size did not increase sufficiently although no reasons for this insufficient response were detectable. Therefore the regime of controlling and changing the catheter system was intensified. By this means partial occlusions of the catheter were detected and could be corrected. Afterwards testosterone levels increased immediately and persistently to normal values.

摘要

一名患有卡尔曼综合征的19岁患者,使用便携式输液泵每2小时皮下注射促性腺激素释放激素(2.5 - 16微克)进行治疗。在42周的治疗期间,睾酮水平和睾丸大小虽未充分增加,但未发现对此反应不足的原因。因此,加强了对导管系统的控制和更换方案。通过这种方式,检测到导管存在部分堵塞并得以纠正。此后,睾酮水平立即持续上升至正常水平。

相似文献

1
Technical mishaps as easily avoidable causes of treatment failure when using pumps for pulsatile administration of gonadotropin-releasing hormone.在使用泵进行促性腺激素释放激素脉冲式给药时,技术失误是治疗失败的容易避免的原因。
Klin Wochenschr. 1986 Sep 1;64(17):804-5. doi: 10.1007/BF01732192.
2
Pulsatile gonadotropin-releasing hormone therapy in male patients with Kallmann's syndrome or constitutional delay of puberty.脉冲式促性腺激素释放激素疗法治疗患有卡尔曼综合征或体质性青春期延迟的男性患者。
Fertil Steril. 1985 Apr;43(4):599-608. doi: 10.1016/s0015-0282(16)48504-3.
3
Pulsatile intravenous administration of GnRH by portable infusion pump in Kallmann's syndrome for induction of puberty.通过便携式输液泵对卡尔曼综合征患者进行促性腺激素释放激素的脉冲式静脉给药以诱导青春期。
Taiwan Yi Xue Hui Za Zhi. 1984 Dec;83(12):1215-21.
4
Contrasting effects of subcutaneous pulsatile GnRH therapy in congenital adrenal hypoplasia and Kallmann's syndrome.皮下脉冲式促性腺激素释放激素疗法对先天性肾上腺发育不全和卡尔曼综合征的不同影响。
Clin Endocrinol (Oxf). 1984 Dec;21(6):597-603. doi: 10.1111/j.1365-2265.1984.tb01401.x.
5
Pulsatile subcutaneous nocturnal administration of GnRH by portable infusion pump in hypogonadotropic hypogonadism: initiation of gonadotropin responsiveness.便携式输液泵夜间皮下脉冲式注射促性腺激素释放激素治疗低促性腺激素性性腺功能减退症:促性腺激素反应性的起始
J Clin Endocrinol Metab. 1979 Oct;49(4):652-4. doi: 10.1210/jcem-49-4-652.
6
Male hypothalamic hypogonadism: induction of spermatogenesis by subcutaneous pulsatile gonadotrophin-releasing hormone.男性下丘脑性性腺功能减退:皮下脉冲式促性腺激素释放激素诱导精子发生
Horm Res. 1987;25(3):152-9. doi: 10.1159/000180647.
7
[Induction of puberty in Kallmann syndrome by pulsatile gonadotropin-releasing hormone stimulation].[脉冲式促性腺激素释放激素刺激诱导卡尔曼综合征患者青春期发育]
Hautarzt. 1988 Feb;39(2):102-6.
8
[Induction of puberty by pulsatile luteinizing hormone releasing hormone (LH-RH)--therapy in a boy with Kallmann syndrome].[脉冲式促黄体生成素释放激素(LH-RH)诱导青春期——对一名卡尔曼综合征男孩的治疗]
Monatsschr Kinderheilkd. 1986 Mar;134(3):138-41.
9
Hypothalamic hypogonadism: induction of ovulation and pregnancy by subcutaneous pulsatile injections of gonadotrophin-releasing hormone.下丘脑性性腺功能减退:通过皮下脉冲注射促性腺激素释放激素诱导排卵和妊娠。
Horm Res. 1984;20(3):172-7. doi: 10.1159/000179992.
10
Normalisation of gonadotropin release by pump assisted pulsatile gonadotropin releasing hormone (GnRH) replacement in hypogonadotropic men.
Life Support Syst. 1985;3 Suppl 1:556-60.

本文引用的文献

1
Practical problems with insulin pumps.胰岛素泵的实际问题。
N Engl J Med. 1982 Jun 3;306(22):1369-70. doi: 10.1056/NEJM198206033062223.
2
Induction of puberty in men by long-term pulsatile administration of low-dose gonadotropin-releasing hormone.通过长期脉冲式给予低剂量促性腺激素释放激素诱导男性青春期。
N Engl J Med. 1982 Nov 11;307(20):1237-41. doi: 10.1056/NEJM198211113072003.
3
Acute complications associated with insulin infusion pump therapy. Report of experience with 161 patients.
JAMA. 1984 Dec 21;252(23):3265-9.
4
The treatment of hypogonadotrophic hypogonadism in men by the pulsatile infusion of luteinising hormone-releasing hormone.通过脉冲式输注促黄体生成素释放激素治疗男性低促性腺激素性性腺功能减退症。
Clin Endocrinol (Oxf). 1984 Aug;21(2):189-200. doi: 10.1111/j.1365-2265.1984.tb03459.x.