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[麦角中毒——预防血栓形成中的一种风险?]

[Ergotism--a risk in the prevention of thrombosis?].

作者信息

Jahn R

出版信息

Zentralbl Chir. 1985;110(8):482-5.

PMID:4002912
Abstract

In a 28 years old female who had undergone osteosynthesis for treating a pilon tibial fracture we postoperatively observed a spasm of the equilateral superficial femoral artery, followed by gangrene of the lower leg. The only therapy which was still possible as a life saving procedure consisted in amputating the lower leg. For prophylactic reasons the woman was postoperatively administered dihydroergotamin in combination with heparin. The author emphasises the fact that patients suffering from chronic liver diseases are particularly endangered by ergotism.

摘要

在一名28岁接受胫骨平台骨折接骨术的女性患者身上,我们在术后观察到股浅动脉等长痉挛,随后小腿发生坏疽。唯一仍可行的挽救生命的治疗方法是截肢小腿。出于预防原因,术后给该女性患者使用了双氢麦角胺联合肝素。作者强调,患有慢性肝病的患者特别容易受到麦角中毒的威胁。

相似文献

1
[Ergotism--a risk in the prevention of thrombosis?].[麦角中毒——预防血栓形成中的一种风险?]
Zentralbl Chir. 1985;110(8):482-5.
2
[Arterial vasospasm as a complication of the prevention of thromboembolism with heparin-dihydroergotamine and its treatment].
Zentralbl Chir. 1986;111(21):1354-7.
3
[Ergotism of the lower extremities resulting from thrombosis prevention using DHE-heparin. An angiographic follow-up study].[使用二氢麦角胺-肝素预防血栓形成导致的下肢麦角中毒。血管造影随访研究]
Radiologe. 1988 Oct;28(10):491-3.
4
[Diagnosis and therapy of ergotism following the use of heparin-DHE in thrombosis prevention].[使用肝素-二氢麦角胺预防血栓形成后麦角中毒的诊断与治疗]
Rofo. 1987 Oct;147(4):446-9. doi: 10.1055/s-2008-1048674.
5
[Ergotism within the scope of the postoperative prevention of thromboembolism].[麦角中毒在术后血栓栓塞预防范围内的情况]
Zentralbl Chir. 1987;112(22):1426-35.
6
[The problem of ergotism in thrombosis prevention with drugs].[药物预防血栓形成中的麦角中毒问题]
Z Arztl Fortbild (Jena). 1983;77(23):965-8.
7
Severe vasospastic reactions (ergotism) during prophylactic administration of heparin-dihydroergotamine.
Vasa. 1987;16(4):370-2.
8
Ergotism as a consequence of thromboembolic prophylaxis.作为血栓栓塞预防后果的麦角中毒
Radiology. 1989 Feb;170(2):375-6. doi: 10.1148/radiology.170.2.2911661.
9
Ergotism leading to threatened limb amputation or to death in two patients given heparin-dihydroergotamine prophylaxis.在两名接受肝素-双氢麦角胺预防治疗的患者中,麦角中毒导致肢体有截肢风险或死亡。
Lancet. 1982 Apr 24;1(8278):955-6. doi: 10.1016/s0140-6736(82)91947-x.
10
Dihydroergotamine/heparin in the prevention of deep-vein thrombosis after total hip replacement. A controlled, prospective, randomized multicenter trial.双氢麦角胺/肝素预防全髋关节置换术后深静脉血栓形成。一项对照、前瞻性、随机多中心试验。
J Bone Joint Surg Am. 1990 Jan;72(1):153.

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