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决奈达隆引起的肺纤维化严重不良反应分析

Analysis of a Serious Adverse Reaction of Pulmonary Fibrosis Caused by Dronedarone.

作者信息

Chen Yuyan, Fu Zhendong, Wen Xue, Zhang Mingxia, Min Qiong, Wang Peng, Zhang Jin, Ren Jun, Li Wenbin, Wang Rong

机构信息

Pharmacy Department, The 940th Hospital of Joint Logistics Support force of Chinese People's Liberation Army, Lanzhou, China.

Department of Hepatobiliary Surgery, The 940th Hospital of Joint Logistics Support force of Chinese People's Liberation Army, Lanzhou, China.

出版信息

Curr Ther Res Clin Exp. 2024 Mar 12;100:100743. doi: 10.1016/j.curtheres.2024.100743. eCollection 2024.

Abstract

OBJECTIVE

This study aims to analyze a severe adverse reaction of pulmonary fibrosis induced by dronedarone hydrochloride tablets, and to provide a reference for clinical rational medication through drug precautions.

METHODS

A case of pulmonary fibrosis induced by dronedarone hydrochloride tablets, along with related literature was retrospectively analyzed.

RESULTS

Patients over 65 years old with a history of exposure to amiodarone may increase the incidence of pulmonary toxicity induced by dronedarone, and dronedarone should not be selected as a substitute treatment drug for patients with amiodarone-induced pulmonary toxicity.

CONCLUSIONS

It is recommended that clinicians monitor the diffusion capacity of carbon monoxide and lung ventilation function of patients before and after using dronedarone for treatment. For patients with a history of amiodarone exposure, intermittent monitoring of chest X-rays and lung function is necessary. If lung function decreases, dronedarone should be immediately discontinued.

摘要

目的

本研究旨在分析盐酸决奈达隆片所致的严重不良反应——肺纤维化,并通过药物警示为临床合理用药提供参考。

方法

回顾性分析1例盐酸决奈达隆片致肺纤维化病例及相关文献。

结果

65岁以上且有胺碘酮暴露史的患者,使用决奈达隆后发生肺毒性的几率可能增加,对于胺碘酮所致肺毒性患者,不应选用决奈达隆作为替代治疗药物。

结论

建议临床医生在使用决奈达隆治疗前、后监测患者的一氧化碳弥散量及肺通气功能。对于有胺碘酮暴露史的患者,需间断监测胸部X线及肺功能。若肺功能下降,应立即停用决奈达隆。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c117/11015333/e0e7c5106050/gr1.jpg

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