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[血管紧张素转换酶抑制剂给药后上呼吸道消化道黏膜血管性水肿]

[Angioedema of the mucous membranes of the upper aerodigestive tract after administration of ACE inhibitors].

作者信息

Tisch M, Maier H

机构信息

Abteilung Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Bundewehrkrankenhaus Ulm.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 1997 Feb;32(2):122-3. doi: 10.1055/s-2007-995023.

Abstract

Inhibitors of angiotensin converting enzyme may rarely cause an angioneurotic oedema of the upper aerodigestive tract. The pathomechanism of this side effect depends on an interaction of the drug with hormones regulating the vascular resistance such as the kallikrein kinin system and the prostaglandin system. Anglo-oedema is characterised by subcutaneous or submucosal swelling, which preferably affects the lips, the soft palate, the tongue and the larynx. Pathomechanisms, differential diagnosis and treatment of ACE-inhibitor induced oedema of the upper aerodigestive tract are described by means of 3 case reports.

摘要

血管紧张素转换酶抑制剂极少会引发上呼吸道消化道的血管神经性水肿。这种副作用的发病机制取决于药物与调节血管阻力的激素之间的相互作用,如激肽释放酶-激肽系统和前列腺素系统。血管性水肿的特征是皮下或粘膜下肿胀,好发于嘴唇、软腭、舌头和喉部。通过3例病例报告描述了血管紧张素转换酶抑制剂诱发的上呼吸道消化道水肿的发病机制、鉴别诊断及治疗方法。

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