中国药物警戒 ›› 2025, Vol. 22 ›› Issue (4): 456-459.
DOI: 10.19803/j.1672-8629.20240658

• 安全与合理用药 • 上一篇    下一篇

硫辛酸注射液致血液系统异常1例分析

刘颖1,2, 郭红叶2, 杨毅恒1, 金锐2,*   

  1. 1北京大学第三医院药学部,北京 100191;
    2中国中医科学院西苑医院药学部,北京 100091
  • 收稿日期:2024-08-27 发布日期:2025-04-17
  • 通讯作者: *金锐,男,博士,副主任药师,中药药性理论与中药临床药学。E-mail:jinrui9862@126.com
  • 作者简介:刘颖,女,硕士,主管药师,临床药学。
  • 基金资助:
    首都卫生发展科研专项(首发2020-2-2081)

One Case of Hematological Abnormalities Caused by Lipoic Acid Injection

LIU Ying1,2, GUO Hongye2, YANG Yiheng1, JIN Rui2,*   

  1. 1Department of Pharmacy, Peking University Third Hospital, Beijing 100191, China;
    2Department of Pharmacy, Xiyuan Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100091, China
  • Received:2024-08-27 Published:2025-04-17

摘要: 目的 分析使用硫辛酸导致血液系统异常的不良反应,为其临床安全应用提供参考。方法 通过探讨1例硫辛酸注射液导致血液系统异常的病例,结合检索分析同类文献报道提出用药建议。结果 患者使用硫辛酸注射液后第14天出现白细胞计数、红细胞计数、血红蛋白水平降低,停用硫辛酸注射液并予利可君治疗,治疗后第3天,该3项指标较前回升。结论 临床应关注硫辛酸对血液系统的不良反应,特别是病程较长、有多重用药情况时可能增加不良反应发生的风险。

关键词: 硫辛酸, 注射液, 血液系统异常, 白细胞, 红细胞, 血红蛋白, 药品不良反应

Abstract: Objective To investigate the adverse drug reactions relating to lipoic acid induced hematological abnormalities so as to provide a reference for its safe clinical applications. Methods One case of hematological abnormalities after injections of lipoic acid was analyzed, and related literature was retrieved to help find the proper medication. Results Fourteen days after lipoic acid injection, blood routine examination results of the patient showed decreased levels of white blood cells, red blood cells and hemoglobin. The lipoic acid injection was discontinued and replaced by leucogen tablets. Three days after treatment, levels of the three indicators mentioned above improved. Conclusion Clinicians should be alert to the potential adverse effects of lipoic acid on the hematological system, particularly in cases with longer disease durations and multiple medications, whose risk of adverse drug reactions may increase.

Key words: Lipoic Acid, Injection, Hematological Abnormalities, White Blood Cells, Red Blood Cells, Hemoglobin, Adverse Drug Reactions

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