低剂量色素用于切除急性三角神经疼痛:一个病例报告
Jamie Baydoun1, Alexander Lin2,3, Jared Miya2,3
1Sound Emergency Physicians, Department of Emergency Medicine, Las Vegas, Nevada.
Clinical practice and cases in emergency medicine
|August 18, 2023
概括
静脉注射氏素有效治疗急性三角神经疼痛恶化在急诊室环境. 这提供了一个快速缓解疼痛的替代品,当标准治疗,如卡巴马西平不太适合急性疼痛管理.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
背景情况:
- 三神经疼痛 (TN) 管理通常涉及卡巴马西平,需要剂量定位以控制疼痛.
- 卡巴马西平的定位要求限制了其在急诊部 (ED) 急性TN恶化中的有用性.
- 关于ED中急性TN恶化治疗的替代有效治疗方法的文献有限.
研究的目的:
- 报告静脉注射 (IV) fosphenytoin在ED的三角神经疼痛患者的急性疼痛管理中的成功使用情况.
主要方法:
- 一名35岁的男性被诊断患有三角神经疼痛,出现了急性面部疼痛,不耐标准ED止痛药.
- 静脉注射素 (250毫克) 在10分钟内进行.
- 输液后评估了疼痛的缓解.
主要成果:
- 患者经历了IV西输液后,三角神经疼痛的完全消失.
- 给药剂量大约为3mg/kg,达到显著的止痛效果.
结论:
- 静脉注射的西是一种可行的,可能有利的治疗选择,用于ED的急性三角神经疼痛恶化.
- 氏素提供快速的疼痛缓解,绕过了与卡巴马西平相关的定位的需要.
- 较低剂量的氏因可能足以有效地治疗急性TN发作中的疼痛.
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