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酮色林治疗鱼精蛋白诱导的肺动脉高压。

Ketanserin in the treatment of protamine-induced pulmonary hypertension.

作者信息

van der Starre P J, Solinas C

机构信息

Department of Cardiothoracic Anesthesiology and Intensive Care Hospital De Weezenlanden, Netherlands.

出版信息

Tex Heart Inst J. 1996;23(4):301-4.

Abstract

The reversal of heparin by protamine may cause severe hemodynamic deterioration, characterized by systemic hypotension, pulmonary hypertension, and bronchoconstriction. A case report is presented concerning the administration of ketanserin in the treatment of pulmonary vasoconstriction and right ventricular failure following the infusion of protamine in a patient undergoing coronary artery bypass surgery and mitral valve replacement. The potential role of serotonin in the development of this serious complication is discussed.

摘要

鱼精蛋白逆转肝素作用可能会导致严重的血流动力学恶化,其特征为全身性低血压、肺动脉高压和支气管收缩。本文报告了1例在接受冠状动脉搭桥手术和二尖瓣置换术的患者输注鱼精蛋白后,使用酮色林治疗肺血管收缩和右心室衰竭的病例。文中讨论了5-羟色胺在这一严重并发症发生过程中的潜在作用。

相似文献

本文引用的文献

1
Protamine allergy.鱼精蛋白过敏。
J Cardiothorac Anesth. 1988 Apr;2(2):225-42. doi: 10.1016/0888-6296(88)90277-3.
2
Heparin prevents the vasodilating actions of protamine on human small mesenteric arteries.
Anesth Analg. 1993 Jun;76(6):1213-21. doi: 10.1213/00000539-199376060-00006.
3
The role of serotonin blockers in cardiac anesthesia.血清素阻滞剂在心脏麻醉中的作用。
J Cardiothorac Vasc Anesth. 1994 Aug;8(4):455-62. doi: 10.1016/1053-0770(94)90289-5.
9
Thrombocytopenia accompanying a reaction to protamine sulfate.
Can Anaesth Soc J. 1985 Jan;32(1):49-52. doi: 10.1007/BF03008537.

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