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一例胺碘酮相关的肺毒性病例。

A case of amiodarone-associated pulmonary toxicity.

作者信息

Kwon K H, Jeong S W, Uh S, Kim Y H, Jin S Y, Park J S, Kang C H, Park C S

机构信息

Department of Internal Medicine, Anatomical Pathology, College of Medicine, Soon Chun Hy ang University, Seoul, Korea.

出版信息

Korean J Intern Med. 1995 Jul;10(2):155-9. doi: 10.3904/kjim.1995.10.2.155.

DOI:10.3904/kjim.1995.10.2.155
PMID:7495776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4532041/
Abstract

Amiodarone is an iodinated benzofuran derivative that represents a new and extremely effective therapy for certain life-threatening refractory cardiac arrgythmia. There are numerous side effects associated with amiodarone therapy, including corneal microdeposits. Skin reactions and others. Pulmonary toxicity, however, represents the most serious adverse reaction limiting the clinical effecacy of this antidysrhythmic drug. Recently, we experienced a case of amiodarone-induced pulmonary toxicity confirmed by open lung biopsy with light-and electron-microscopy. So, we report a case of amiodarone-induced pulmonary toxicity with a literature review.

摘要

胺碘酮是一种碘化苯并呋喃衍生物,是治疗某些危及生命的难治性心律失常的一种全新且极为有效的疗法。胺碘酮治疗存在众多副作用,包括角膜微沉积物、皮肤反应等。然而,肺毒性是限制这种抗心律失常药物临床疗效的最严重不良反应。最近,我们遇到一例经开放性肺活检及光镜和电镜检查确诊的胺碘酮所致肺毒性病例。因此,我们报告一例胺碘酮所致肺毒性病例并进行文献复习。

相似文献

1
A case of amiodarone-associated pulmonary toxicity.一例胺碘酮相关的肺毒性病例。
Korean J Intern Med. 1995 Jul;10(2):155-9. doi: 10.3904/kjim.1995.10.2.155.
2
Amiodarone pulmonary, neuromuscular and ophthalmological toxicity.胺碘酮的肺部、神经肌肉及眼科毒性。
Can Respir J. 2000 Mar-Apr;7(2):193-7. doi: 10.1155/2000/139581.
3
Amiodarone toxicity in a patient with simultaneous involvement of cornea, thyroid gland, and lung.一名同时累及角膜、甲状腺和肺的患者出现胺碘酮毒性反应。
Am J Med Sci. 2000 Jul;320(1):64-8. doi: 10.1097/00000441-200007000-00010.
4
Amiodarone: review of pulmonary effects and toxicity.胺碘酮:肺脏效应和毒性综述。
Drug Saf. 2010 Jul 1;33(7):539-58. doi: 10.2165/11532320-000000000-00000.
5
[Early diagnosis of amiodarone-induced pulmonary toxicity: are repeated lung function tests of any value?].
Ugeskr Laeger. 1996 Jun 10;158(24):3445-7.
6
Amiodarone-associated hemoptysis.胺碘酮相关性咯血。
Am J Med Sci. 1998 Dec;316(6):390-2. doi: 10.1097/00000441-199812000-00006.
7
Recurrent amiodarone pulmonary toxicity.胺碘酮复发性肺毒性。
South Med J. 1996 Jan;89(1):85-6. doi: 10.1097/00007611-199601000-00016.
8
Amiodarone lung toxicity in a cardiac transplant candidate initially diagnosed by fine-needle aspiration: cytologic, histologic, and electronmicroscopic findings.经细针穿刺活检初步诊断的心脏移植候选者中的胺碘酮肺毒性:细胞学、组织学及电子显微镜检查结果
Diagn Cytopathol. 2006 May;34(5):351-4. doi: 10.1002/dc.20313.
9
[Skin adverse effects of amiodarone].[胺碘酮的皮肤不良反应]
Vnitr Lek. 2009 Oct;55(10):976-80.
10
Serum mucin antigen (CASA) as a marker of amiodarone-induced pulmonary toxicity.血清粘蛋白抗原(CASA)作为胺碘酮所致肺毒性的标志物。
Dis Markers. 1998 Nov;14(3):169-75. doi: 10.1155/1998/496028.

引用本文的文献

1
The incidence and predictors of overall adverse effects caused by low dose amiodarone in real-world clinical practice.低剂量胺碘酮在真实临床实践中引起的总体不良反应的发生率及预测因素。
Korean J Intern Med. 2014 Sep;29(5):588-96. doi: 10.3904/kjim.2014.29.5.588. Epub 2014 Aug 28.

本文引用的文献

1
Possible recurrence of amiodarone pulmonary toxicity following corticosteroid therapy.
Chest. 1984 Feb;85(2):284-6. doi: 10.1378/chest.85.2.284.
2
Side effects and possible contraindications of amiodarone use.胺碘酮使用的副作用及可能的禁忌证。
Am Heart J. 1983 Oct;106(4 Pt 2):916-23. doi: 10.1016/0002-8703(83)90016-9.
3
Prospective evaluation of amiodarone pulmonary toxicity.
Chest. 1984 Oct;86(4):541-8. doi: 10.1378/chest.86.4.541.
4
Amiodarone pulmonary toxicity.
胺碘酮肺毒性。
Am Heart J. 1983 Oct;106(4 Pt 2):906-16. doi: 10.1016/0002-8703(83)90015-7.
5
Amiodarone pulmonary toxicity: early changes in pulmonary function tests during amiodarone rechallenge.胺碘酮肺毒性:再次使用胺碘酮期间肺功能测试的早期变化
J Am Coll Cardiol. 1985 Oct;6(4):802-5. doi: 10.1016/s0735-1097(85)80486-1.
6
Relation of serum reverse T3 to amiodarone antiarrhythmic efficacy and toxicity.血清反三碘甲状腺原氨酸与胺碘酮抗心律失常疗效及毒性的关系。
Am J Cardiol. 1986 Jan 1;57(1):128-30. doi: 10.1016/0002-9149(86)90965-3.
7
Amiodarone and its desethyl metabolite: tissue distribution and morphologic changes during long-term therapy.胺碘酮及其去乙基代谢产物:长期治疗期间的组织分布和形态学变化。
Circulation. 1985 Nov;72(5):1064-75. doi: 10.1161/01.cir.72.5.1064.
8
CT demonstration of high attenuation pleural-parenchymal lesions due to amiodarone therapy.胺碘酮治疗导致的高衰减胸膜-实质病变的CT表现
J Comput Assist Tomogr. 1987 Jan-Feb;11(1):160-2. doi: 10.1097/00004728-198701000-00034.
9
Amiodarone pulmonary toxicity. Clinical, radiologic, and pathologic correlations.
Arch Intern Med. 1987 Jan;147(1):50-5. doi: 10.1001/archinte.147.1.50.
10
Amiodarone pulmonary toxicity: clinical and subclinical features.胺碘酮肺毒性:临床和亚临床特征
Q J Med. 1986 May;59(229):449-71.