Schulz V
Fortschr Med. 1984 Feb 23;102(8):189-91.
Ergotism occurs in patients so disposed, particularly under ergotamine therapy for migraine. The principal signs are arterial spasms in the legs, or sometimes also the arms, which can lead to gangrene. Intravenous or intra-arterial infusion of sodium nitroprusside or nitroglycerine has proved the only reliably efficacious therapy. The best results have been obtained using nitroprusside: twelve cases are described here. By contrast, nonefficacious measures include, in particular, sympathetic blockade.
麦角中毒发生在易患此病的患者身上,尤其是在接受麦角胺治疗偏头痛的情况下。主要症状是腿部动脉痉挛,有时手臂也会出现,这可能导致坏疽。静脉或动脉内输注硝普钠或硝酸甘油已被证明是唯一可靠有效的治疗方法。使用硝普钠取得了最佳效果:这里描述了12个病例。相比之下,无效措施尤其包括交感神经阻滞。