由Otsujito引起的严重急性呼吸窘迫综合征
Nobuhisa Hirasawa1, Hajime Nakae1, Kasumi Satoh1
1Department of Emergency and Critical Care Medicine Akita University Graduate School of Medicine Akita Japan.
Acute medicine & surgery
|July 20, 2023
概括
由于Otsujito (OJT),一个Kampo处方,严重的呼吸衰竭是罕见的. 这一案例突显了OJT诱导的急性呼吸窘迫综合征 (ARDS) 的成功治疗,使用低剂量类固醇和重症监护.
科学领域:
- 肺部病理学 肺部病理学
- 药理学 药理学是指药理学的学科.
- 综合医学是一个整体的医学.
背景情况:
- 坎波药物可以诱导药物诱导的肺损伤 (DLI) 和急性呼吸困扰综合征 (ARDS).
- 由于Otsujito (OJT) 的严重呼吸衰竭是一种非常罕见的并发症.
- 严重的DLI的标准治疗包括高剂量的类固醇脉冲疗法.
研究的目的:
- 报告一个罕见的严重急性呼吸困扰综合征 (ARDS) 病例,由Otsujito (OJT) 诱导.
- 用低剂量类固醇和重症监护来描述OJT诱导的ARDS的成功管理.
主要方法:
- 一名63岁的男性患者出现呼吸困难.
- 诊断出严重的ARDS归因于OJT,在四周前被处方.
- 治疗包括停止OJT,机械通风,倾斜定位和低剂量甲基prednisolone (1.5 mg/kg/day).
主要成果:
- 患者在接受类固醇治疗后呼吸状况迅速改善.
- 输出发生在第4天,并在第16天放出.
- 类固醇剂量逐渐逐渐减少,并在116日停止使用.
结论:
- 祖吉托 (OJT) 可以导致严重的急性呼吸困扰综合征 (ARDS).
- 低剂量类固醇治疗与密集的支持性护理相结合,可以有效地管理OJT诱导的ARDS.
- 这一案例强调了考虑到罕见的药物诱导的肺损伤从康波处方的重要性.
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