RESPIRATORY-FAILURE FOLLOWING ADENOSINE ADMINISTRATION

被引：20

作者：

BURKHART, KK

机构：

[1] Emergency Medical Services, The Milton S. Hershey Medical Center, The Pennsylvania State University, Hershey, PA

来源：

AMERICAN JOURNAL OF EMERGENCY MEDICINE | 1993年 / 11卷 / 03期

关键词：

ADENOSINE; ADVERSE DRUG REACTION; SUPRAVENTRICULAR TACHYCARDIA; BRONCHOCONSTRICTION;

D O I：

10.1016/0735-6757(93)90138-2

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Adenosine is frequently administered to convert the rhythm of patients with paroxysmal supraventricular tachycardia to sinus rhythm. Adverse reactions are common after its administration, but these have been short-lived because adenosine has a half-life of less than 10 seconds. This report describes a 54-year-old male patient with chronic obstructive pulmonary disease who presented with paroxysmal supraventricular tachycardia at 200 beats/min. A 12-mg bolus injection of adenosine aggravated mild bronchospasm and produced respiratory failure. The patient subsequently required ventilatory support for 9 days. The presence of bronchoconstriction should be considered as a possible contraindication to the administration of intravenous adenosine. © 1993.

引用

页码：249 / 250

页数：2

共 12 条

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