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一种新的成人胃肠外给药维生素K1制剂的耐受性:类过敏反应1例

Tolerability of a new vitamin K1 preparation for parenteral administration to adults: one case of anaphylactoid reaction.

作者信息

Havel M, Müller M, Graninger W, Kurz R, Lindemayr H

出版信息

Clin Ther. 1987;9(4):373-9.

PMID:3607819
Abstract

The efficacy and tolerability of a conventional vitamin K1 preparation containing polyoxyethylated castor oil as solubilizer were compared with those of a new compound containing mixed micelles as solubilizer in 30 patients. A statistically significant increase in the thrombotest was detected after treatment in both groups. No hematological or chemical toxicity was observed during the observation period. One patient had an anaphylactoid reaction after intravenous injection of the mixed micelles preparation. Intradermal testing yielded positive results. The authors conclude that intravenous administration of vitamin K preparations should be reserved for acute emergencies.

摘要

在30名患者中,对一种以聚氧乙烯蓖麻油作为增溶剂的传统维生素K1制剂与一种以混合微胶粒作为增溶剂的新化合物的疗效和耐受性进行了比较。两组治疗后均检测到凝血试验有统计学意义的增加。观察期间未观察到血液学或化学毒性。一名患者在静脉注射混合微胶粒制剂后发生类过敏反应。皮内试验结果呈阳性。作者得出结论,维生素K制剂的静脉给药应仅用于急性紧急情况。

相似文献

1
Tolerability of a new vitamin K1 preparation for parenteral administration to adults: one case of anaphylactoid reaction.一种新的成人胃肠外给药维生素K1制剂的耐受性:类过敏反应1例
Clin Ther. 1987;9(4):373-9.
2
Finding the optimal dose of vitamin K1 to treat vitamin K deficiency and to avoid anaphylactoid reactions.寻找治疗维生素K缺乏症并避免类过敏反应的维生素K1最佳剂量。
Fundam Clin Pharmacol. 2017 Oct;31(5):495-505. doi: 10.1111/fcp.12290. Epub 2017 May 24.
3
Pharmacokinetics and efficacy of oral versus intravenous mixed-micellar phylloquinone (vitamin K1) in severe acute liver disease.口服与静脉注射混合微团叶绿醌(维生素K1)在严重急性肝病中的药代动力学及疗效
J Hepatol. 2005 Mar;42(3):365-70. doi: 10.1016/j.jhep.2004.11.030.
4
Characterizing the Severe Reactions of Parenteral Vitamin K1.描述维生素K1注射剂的严重不良反应
Clin Appl Thromb Hemost. 2018 Jan;24(1):5-12. doi: 10.1177/1076029616674825. Epub 2016 Oct 21.
5
The incidence of anaphylaxis following intravenous phytonadione (vitamin K1): a 5-year retrospective review.静脉注射植物甲萘醌(维生素K1)后过敏反应的发生率:一项为期5年的回顾性研究。
Ann Allergy Asthma Immunol. 2002 Oct;89(4):400-6. doi: 10.1016/S1081-1206(10)62042-X.
6
The severe adverse reaction to vitamin k1 injection is anaphylactoid reaction but not anaphylaxis.维生素K1注射的严重不良反应是类过敏反应而非过敏反应。
PLoS One. 2014 Mar 4;9(3):e90199. doi: 10.1371/journal.pone.0090199. eCollection 2014.
7
[Too much haste is not good either with vitamin K].服用维生素K时, haste过度也不好。(此句中haste意思不太明确,可能表述有误,正常可能是“过量服用维生素K也不好”之类准确表达)
Ned Tijdschr Geneeskd. 1990 Sep 1;134(35):1673-5.
8
Dietary induced subclinical vitamin K deficiency in normal human subjects.正常人体受试者中饮食诱导的亚临床维生素K缺乏症。
J Clin Invest. 1993 Apr;91(4):1761-8. doi: 10.1172/JCI116386.
9
Anaphylactic shock and vitamin K1.过敏性休克与维生素K1。
Ann Intern Med. 1989 Jun 1;110(11):943. doi: 10.7326/0003-4819-110-11-943_1.
10
[Cutaneous hypersensitivity at the site of injection of vitamin K1].
Ann Dermatol Venereol. 1996;123(3):177-9.

引用本文的文献

1
Cutaneous allergic reaction to subcutaneous vitamin K: A case report and review of literature.皮下注射维生素K引起的皮肤过敏反应:一例病例报告及文献复习
World J Clin Cases. 2022 Oct 16;10(29):10742-10754. doi: 10.12998/wjcc.v10.i29.10742.
2
Characterizing the Severe Reactions of Parenteral Vitamin K1.描述维生素K1注射剂的严重不良反应
Clin Appl Thromb Hemost. 2018 Jan;24(1):5-12. doi: 10.1177/1076029616674825. Epub 2016 Oct 21.
3
A clinically suspected case of Anaphylactoid reaction to vitamin K injection in a child - a case report and review of literature.
一例儿童维生素K注射类过敏反应的临床疑似病例——病例报告及文献综述
Indian J Pharmacol. 2016 Jul-Aug;48(4):455-457. doi: 10.4103/0253-7613.186216.
4
Anaphylactoid reactions to vitamin K.维生素K类过敏反应
J Thromb Thrombolysis. 2001 Apr;11(2):175-83. doi: 10.1023/a:1011237019082.