Saff R, Nahhas A, Fink J N
Department of Medicine, Medical College of Wisconsin, Milwaukee.
Ann Allergy. 1993 May;70(5):396-8.
A case of a 30-year-old man who developed a myocardial infarction after self-administering an Epi-Pen for an episode of idiopathic anaphylaxis is reported. The patient had numerous risk factors for coronary artery disease, and it was suspected that epinephrine-induced coronary spasm caused the infarct. The Epi-Pen Junior may be indicated in such adults with numerous risk factors for coronary artery disease who are at risk for recurrent anaphylaxis.
报告了一例30岁男性在因特发性过敏反应自行注射肾上腺素笔后发生心肌梗死的病例。该患者有许多冠状动脉疾病的危险因素，怀疑是肾上腺素诱发的冠状动脉痉挛导致了梗死。对于有许多冠状动脉疾病危险因素且有复发性过敏反应风险的成年人，可能需要使用儿童型肾上腺素笔。
