氨茶碱及二羟丙茶碱致患者惊厥 1 例观察与分析
Observation and analysis of 1 case of convulsion caused by aminophylline and dihydroxyproprofylline
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| DOI |
10.12208/j.jmnm.2023000777 |
| 刊名 |
Journal of Modern Nursing MedicineJPCNS
|
| 年，卷(期) |
2023, 2(12) |
| 作者 |
|
| 作者单位 |
泾源县人民医院 宁夏固原 ;
|
| 摘要 |
分析氨茶碱及二羟丙茶碱在慢性阻塞性肺疾病治疗过程中导致惊厥的临床特点，为茶碱类注
射剂合理安全应用提供参考。方法：通过参与 1 例慢性阻塞性肺疾病患者的临床治疗，护理中发现患者出现惊厥，
根据惊厥特点、患者既往史、用药史，分析可能发生的原因，协助医生治疗。结果：根据患者既往病史，排除患
者由癫痫等疾病引起惊厥的可能；患者近期所用药物只有茶碱类有惊厥的不良反应，停止应用茶碱类药物后患者
惊厥再未发生，故确定惊厥由茶碱类药物导致。结论：茶碱类药物治疗窗窄，代谢方面个体差异大，使用时不注
意影响血药浓度的各种因素，容易引起惊厥等严重的不良反应。
|
| Abstract |
Objective To analyze the clinical characteristics of aminophylline and dihydroxyproprofylline in the
treatment of chronic obstructive pulmonary disease causing convulsions, and to provide reference for the rational and
safe application of theophylline injections. Methods By participating in the clinical treatment of a patient with chronic
obstructive pulmonary disease, the patient was found to have convulsion during nursing. According to the characteristics
of convulsion, the patients past history and medication history, the possible causes were analyzed to assist the doctor in
treatment. Results According to the patients history, the possibility of convulsion caused by epilepsy and other diseases
was excluded. Only theophylline drugs were used in the patient recently, and convulsions did not occur after stopping the
use of theophylline drugs, so it was determined that the convulsions were caused by theophylline drugs. Conclusion
Theophylline drugs have narrow therapeutic window, large individual differences in metabolism, and are easy to cause
severe adverse reactions such as convulsion when used without paying attention to various factors affecting blood
concentration.
|
| 关键词 |
氨茶碱 二羟丙茶碱 惊厥
|
| KeyWord |
aminophylline dihydroxypropylline convulsion
|
| 基金项目 |
|
| 页码 |
157-159 |
禹敏*.
氨茶碱及二羟丙茶碱致患者惊厥 1 例观察与分析 [J].
现代护理医学杂志.
2023; 2; (12).
157 - 159.