对尼达普拉丁的过敏反应:一个病例报告和文献综述
1North Sichuan Medical College, Nanchong, Sichuan Province, China.
Medicine
|December 20, 2023
概括
对尼达普拉丁化疗的全身过敏反应可能危及生命. 及时识别和管理,包括药物停用和支持性护理,对于患者安全至关重要.
科学领域:
- 在瘤学瘤学.
- 临床药理学 临床药理学
背景情况:
- 尼达普拉丁是一种基于的化疗剂,用于治疗各种癌症.
- 对尼达普拉丁的全身过敏反应 (SHRs) 虽然很少见,但发病速度很快,可能危及生命.
- 尼达普拉丁诱导的SHRs背后的确切机制尚不清楚.
研究的目的:
- 报告一个对尼达普拉丁系统性过敏反应的病例.
- 审查关于尼达普拉丁过敏的文献.
- 为此类反应制定推的管理方案.
主要方法:
- 一名62岁的患有状肺癌的男性患者在开始尼达普拉丁化疗后几分钟就出现了急性过敏症状.
- 患者出现了恐慌,呼吸不全,心动减速,缺氧和高血压.
- 治疗包括立即停止尼达普拉丁,氧气,心电图监测,以及静脉注射德克萨米他,迪芬胺和甲基prednisolone.
主要成果:
- 患者的过敏症状在迅速的医疗干预后得到解决.
- 口服抗胰岛素 (desloratadine和ebastine) 用于症状管理.
- 一旦病情稳定,患者被送出院,由于可能与其他基药物发生交叉反应,化学疗法被中止.
结论:
- 在尼达普拉丁的使用过程中,密集监测和对SHR的准备是必不可少的.
- 治疗包括立即戒药,评估生命体征,及时服用紧急药物.
- 需要进行进一步的随机临床试验,以优化尼达普拉丁诱导过敏的预防和治疗策略.
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