罗库诱导的狂犬病:一个案例报告和文献综述
Meidai Liang1, Zhaoshuai Ji1, Jing Tang1
1Department of Clinical Pharmacy, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, CHN.
Cureus
|November 17, 2025
概括
作为肌肉松剂的罗库,可能会导致老年患者的肌肉分裂 (肌肉衰竭). 在使用罗库期间和之后,仔细监测肌酸激酶水平至关重要,特别是在长期使用时.
科学领域:
- 麻醉学 麻醉学
- 神经肌肉药理学 神经肌肉药理学
背景情况:
- 罗库是一种常见的非去极化神经肌肉阻断剂,用于麻醉.
- 轮骨髓溶解是一种关键性疾病,涉及肌肉组织的分解.
研究的目的:
- 报告一种罕见的与罗库 (rocuronium) 给药相关联的拉布地质溶解病例.
- 为了调查罗库和肌肉损伤之间的潜在联系.
主要方法:
- 一个老年患者接受静脉注射罗库的案例报告.
- 监测肌肉损伤迹象的肌酸激酶 (CK) 水平.
主要成果:
- 患者发病了拉布地质溶解,在罗库给药后,CK水平显著升高.
- 长时间使用和低于最佳的麻醉可能会增加风险.
结论:
- 罗库可能是拉布地质溶解的促成因素,特别是在老年患者中.
- 在罗库治疗期间,建议密切监测肌肉损伤和升高的CK.
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