中国药物警戒 ›› 2024, Vol. 21 ›› Issue (10): 1172-1174.
DOI: 10.19803/j.1672-8629.20240106

• 安全与合理用药 • 上一篇    下一篇

帕米膦酸二钠葡萄糖注射液致过敏性休克 1 例分析

刘猛1, 方可1, 严家菊1, 刘梦1, 何曼云1, 魏良兵2,*   

  1. 1皖西卫生职业学院附属医院临床药学部,安徽 六安 237008;
    2安徽中医药大学第一附属医院药学部,安徽 合肥 230031
  • 收稿日期:2024-02-22 出版日期:2024-10-15 发布日期:2024-10-14
  • 通讯作者: *魏良兵,男,副主任药师·硕导,新药研发与临床药学。E-mail: wlb0101@163.com
  • 作者简介:刘猛,男,硕士,副主任药师,药事管理与临床药学。
  • 基金资助:
    安徽省教育厅高校科学研究项目(2022YJZR002); 安徽省高校优秀拔尖人才培育重点项目(gxyqZD2022119)

One case of anaphylactic shock caused by pamidronate disodium glucose injection

LIU Meng1, FANG Ke1, YAN Jiaju1, LIU Meng1, HE Manyun1, WEI Liangbing2,*   

  1. 1Department of Clinical Pharmacy, Affiliated Hospital of West Anhui Health Vocational College, Lu'an Anhui 237008, China;
    2Department of Pharmacy, the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine, Hefei Anhui 230031, China
  • Received:2024-02-22 Online:2024-10-15 Published:2024-10-14

摘要: 目的 探讨帕米膦酸二钠致过敏性休克的发生特点,为临床防治不良反应和安全用药提供参考。方法 分析1例帕米膦酸二钠导致过敏性休克的病例,根据国家药品不良反应监测中心评价方法进行关联性评价,文献回顾帕米膦酸二钠常见不良反应和致过敏性休克的发病机制,讨论原因及防治措施。结果 根据患者的临床表现及药物与用药时间的关联性,考虑帕米膦酸二钠导致过敏性休克可能性大,患者经积极救治后,过敏性休克症状得到缓解。结论 临床应用帕米膦酸二钠应警惕发生过敏性休克的风险,用药期间加强不良反应监测,促进临床安全合理用药。

关键词: 帕米膦酸二钠, 注射液, 过敏性休克, 严重过敏, 药品不良反应, 病例报告

Abstract: Objective To investigate the characteristics of anaphylactic shock triggered by pamidronate disodium in order to provide data for the prevention and treatment of adverse reactions and ensure safe medications. Methods One case of anaphylactic shock induced by pamidronate disodium was reported, with the correlations assessed using the evaluation method recommended by the National Adverse Drug Reaction Monitoring Center. Additionally, literature on the common adverse reactions and pathogenesis related to pamidronate disodium was reviewed to explore the potential causes and preventive strategies. Results The patient's clinical conditions and the timing of drug administration strongly suggested that pamidronate disodium was the likely cause of anaphylactic shock,so immediate and effective treatment was offered to alleviate the symptoms. Conclusion Clinicians who prescribe pamidronate disodium should be alert to the risk of anaphylaxis. It is crucial to enhance monitoring of adverse reactions and ensure the availability of emergency medications and equipment during treatment.

Key words: pamidronate disodium, injection, anaphylactic shock, severe allergy, adverse drug reaction, case report

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