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使用氟哌利多后出现昏迷:一例报告。

Coma After Droperidol Administration: A Case Report.

机构信息

From the Department of Anesthesiology and Pain Medicine, Inselspital, University Hospital, University of Bern, Bern, Switzerland.

Institute for Medical Education, University of Bern, Bern, Switzerland.

出版信息

A A Pract. 2024 Aug 13;18(8):e01831. doi: 10.1213/XAA.0000000000001831. eCollection 2024 Aug 1.

DOI:10.1213/XAA.0000000000001831
PMID:39137114
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11365592/
Abstract

In Switzerland, approximately 32,000 patients are hospitalized annually due to adverse drug reactions (ADRs), representing 2.3% of all hospitalizations. During the perioperative period, the administration of a variety of drugs from different classes over a relatively short period of time increases the risk of ADR. Here, we describe the case of a 32-year-old woman who was administered droperidol to treat nausea in the recovery room after a myomectomy and who subsequently became comatose. Correctable metabolic, respiratory, and cerebrovascular disorders were ruled out. Six hours after the event, she was extubated without residual effects. We discuss potential ADR for droperidol.

摘要

在瑞士,每年约有 32000 名患者因药物不良反应(ADR)住院,占住院总人数的 2.3%。在围手术期,由于在相对较短的时间内使用了多种不同类别的药物,因此增加了发生 ADR 的风险。在这里,我们描述了一例 32 岁女性的病例,她在子宫肌瘤切除术后在恢复室中接受了氟哌利多治疗恶心,随后昏迷。可纠正的代谢、呼吸和脑血管疾病已被排除。事件发生后 6 小时,她拔管后无残留影响。我们讨论了氟哌利多的潜在 ADR。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1377/11365592/018f322eec56/acc-18-e01831-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1377/11365592/018f322eec56/acc-18-e01831-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1377/11365592/018f322eec56/acc-18-e01831-g001.jpg

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本文引用的文献

1
Hospitalisations Related to Adverse Drug Reactions in Switzerland in 2012-2019: Characteristics, In-Hospital Mortality, and Spontaneous Reporting Rate.2012-2019 年瑞士与药物不良反应相关的住院治疗:特征、住院死亡率和自发报告率。
Drug Saf. 2023 Aug;46(8):753-763. doi: 10.1007/s40264-023-01319-y. Epub 2023 Jun 19.
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Prevention and Treatment of Postoperative Nausea and Vomiting (PONV): A Review of Current Recommendations and Emerging Therapies.术后恶心呕吐(PONV)的预防与治疗:当前推荐及新兴疗法综述
Ther Clin Risk Manag. 2020 Dec 31;16:1305-1317. doi: 10.2147/TCRM.S256234. eCollection 2020.
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Safety and efficacy of pharmacologic agents used for rapid tranquilization of emergency department patients with acute agitation or excited delirium.
用于急诊科急性激越或兴奋谵妄患者快速镇静的药物的安全性和疗效。
Expert Opin Drug Saf. 2021 Feb;20(2):123-138. doi: 10.1080/14740338.2021.1865911. Epub 2021 Jan 13.
4
Effect of the Most Relevant CYP3A4 and CYP3A5 Polymorphisms on the Pharmacokinetic Parameters of 10 CYP3A Substrates.最相关的CYP3A4和CYP3A5基因多态性对10种CYP3A底物药代动力学参数的影响。
Biomedicines. 2020 Apr 22;8(4):94. doi: 10.3390/biomedicines8040094.
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Evidence-based review and appraisal of the use of droperidol in the emergency department.急诊科使用氟哌利多的循证综述与评估
Tzu Chi Med J. 2018 Jan-Mar;30(1):1-4. doi: 10.4103/tcmj.tcmj_195_17.
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Evidence-based review of the black-box warning for droperidol.氟哌利多黑框警告的循证综述。
Am J Health Syst Pharm. 2007 Jun 1;64(11):1174-86. doi: 10.2146/ajhp060505.
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Intravenous droperidol: a review of its use in the management of postoperative nausea and vomiting.静脉注射氟哌利多:其用于术后恶心呕吐管理的综述
Drugs. 2006;66(16):2123-47. doi: 10.2165/00003495-200666160-00009.
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Anesthesiology. 2005 Jun;102(6):1094-100. doi: 10.1097/00000542-200506000-00006.
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[Drug interactions and the anesthesiologist].[药物相互作用与麻醉医生]
Anaesthesist. 2003 Sep;52(9):839-59. doi: 10.1007/s00101-003-0563-2.
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