麦角胺诱导的血管痉挛的快速逆转。

Rapid reversal of ergotamine-induced vasospasm.

作者信息

Lewis P J, Noseworthy T W, Fitzgerald A A, Andrews G C, Geeraert A J

出版信息

Can J Neurol Sci. 1986 Feb;13(1):72-4. doi: 10.1017/s0317167100035848.

Abstract

Peripheral ischemia, secondary to ergotamine tartrate and caffeine suppositories is reported in a 48-year-old female. Lower extremity pre-gangrenous changes were unresponsive to surgical sympathectomy, calcium channel blockade, intra-arterial vasodilators and systemic anticoagulation. A dramatic clinical and radiological reversal of the vasospasm was obtained with intravenous sodium nitroprusside when surgical amputation appeared inevitable.

摘要

据报道，一名48岁女性因使用酒石酸麦角胺和咖啡因栓剂继发外周缺血。下肢坏疽前期变化对手术交感神经切除术、钙通道阻滞剂、动脉内血管扩张剂和全身抗凝治疗均无反应。当手术截肢似乎不可避免时，静脉注射硝普钠使血管痉挛在临床和影像学上出现显著逆转。