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持续性植物状态患者的药物性高热。病例报告及文献综述。

Drug-induced hyperthermia in a patient with persistent vegetative state. Case report and review of the literature.

作者信息

Berlot G, Tomasini A, Cociancich N, Viviani M, Gullo A

机构信息

Istituto di Anestesia, Rianimazione e Terapia Antalgica, University of Trieste, Italy.

出版信息

J Neurosurg Sci. 1995 Sep;39(3):199-202.

PMID:8965130
Abstract

The case of posttraumatic patient with persistent vegetative state and severe and prolonged hyperthermia (T = 39-40 degrees C for more than 20 days), in absence of infection, is described. Diffuse muscular rigidity, treated with L-dopa, slightly preceded the onset of hyperthermia, which was treated with several antipyretics, including phenotiazines. The withdrawal of these drugs and the administration of dantrolene and bromocriptine was followed by the restoration of the normal body temperature.

摘要

本文描述了一例创伤后持续性植物状态患者,伴有严重且持续的高热(体温39 - 40摄氏度超过20天),且无感染情况。用左旋多巴治疗的弥漫性肌肉强直略早于高热发作,高热用包括吩噻嗪类在内的多种退烧药治疗。停用这些药物并给予丹曲林和溴隐亭后,体温恢复正常。

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