Effectiveness of arginine vasopressin for the management of refractory hemorrhagic shock in a patient with autonomic dysreflexia caused by spinal cord injury

被引：0

作者：

Shimauchi, Tsukasa ^{[1
]}

Maki, Jun ^{[2
]}

Yoshino, Jun ^{[3
]}

Fujimura, Naoyuki ^{[3
]}

Hoka, Sumio ^{[4
]}

机构：

[1] Kyushu Univ Hosp, Operating Rooms, Higashi Ku, 3-1-1 Maidashi, Fukuoka, Fukuoka 8128582, Japan

[2] Kyushu Univ Hosp, Emergency & Crit Care Ctr, Fukuoka, Fukuoka, Japan

[3] St Marys Hosp, Dept Anesthesiol, Kurume, Fukuoka, Japan

[4] Kyushu Univ, Dept Anesthesiol & Crit Care Med, Grad Sch Med Sci, Fukuoka, Fukuoka, Japan

来源：

JA CLINICAL REPORTS | 2018年 / 4卷

关键词：

AVP; Arginine vasopressin; Hemorrhagic shock; Autonomic dysreflexia; Spinal cord injury;

D O I：

10.1186/s40981-018-0216-8

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Arginine vasopressin has been used for the management of refractory vasodilatory shock. However, it is still unclear whether arginine vasopressin is useful for hypotension in patients with spinal cord injury. A 78-year-old man with autonomic dysreflexia and paralysis below the level corresponding to Th2 due to spinal cord injury previously underwent cholecystectomy. During the surgery, accidental hemorrhage led him to refractory hemorrhagic shock unresponsive to fluid resuscitation and catecholamine. Lasting hypotension was improved with arginine vasopressin. We described a rare case report on the use of arginine vasopressin for management of refractory hemorrhagic shock in a patient with autonomic dysreflexia.

引用

页数：3