药物不良反应杂志
藥物不良反應雜誌
약물불량반응잡지
ADVERSE DRUG REACTIONS JOURNAL
2013年
2期
107-108
,共2页
吲哚美辛%栓剂%哮喘%心肌缺血
吲哚美辛%栓劑%哮喘%心肌缺血
신타미신%전제%효천%심기결혈
Indomethacin%Suppositories%Asthma%Myocardial ischemia
1例43岁男性患者因发热给予吲哚美辛栓50 mg直肠应用.约20 min后患者出现胸闷气短、呼吸困难,颜面、口唇及四肢末端发绀、端坐呼吸,两肺满布哮鸣音.紧急予吸氧,雾化吸入布地奈德,静脉滴注甲泼尼龙及多索茶碱.血气分析提示呼吸性酸中毒,心电图检查提示急性心肌缺血.予气管插管、呼吸机辅助呼吸.经综合抢救4d,患者病情渐平稳.
1例43歲男性患者因髮熱給予吲哚美辛栓50 mg直腸應用.約20 min後患者齣現胸悶氣短、呼吸睏難,顏麵、口脣及四肢末耑髮紺、耑坐呼吸,兩肺滿佈哮鳴音.緊急予吸氧,霧化吸入佈地奈德,靜脈滴註甲潑尼龍及多索茶堿.血氣分析提示呼吸性痠中毒,心電圖檢查提示急性心肌缺血.予氣管插管、呼吸機輔助呼吸.經綜閤搶救4d,患者病情漸平穩.
1례43세남성환자인발열급여신타미신전50 mg직장응용.약20 min후환자출현흉민기단、호흡곤난,안면、구진급사지말단발감、단좌호흡,량폐만포효명음.긴급여흡양,무화흡입포지내덕,정맥적주갑발니룡급다색다감.혈기분석제시호흡성산중독,심전도검사제시급성심기결혈.여기관삽관、호흡궤보조호흡.경종합창구4d,환자병정점평은.
A 43-year-old male patient received rectal administration of indomethacin suppository 50 mg for fever.About 20 minutes later,the patient developed chest tightness,shortness of breath,dyspnea,cyanosis of face,lips and limbs,orthopnea,and wheeze covering both lungs.Oxygen inhalation,aerosol inhalation of budesonide,intravenous infusion of methylprednisolone and doxofylline were given urgently.Blood gas analysis showed respiratory acidosis and electrocardiogram revealed acute myocardial ischemia.He underwent endotracheal intubation and ventilator support.After 4 days of comprehensive resuscitation,his condition became gradually stable.