The therapeutic efficacy of propranolol in children with recurrent primary epistaxis

被引:5
作者
Bjelakovic, Bojko [1 ,2 ]
Bojanovic, Mila [2 ,3 ]
Lukic, Stevo [2 ,4 ]
Saranac, Ljiljana [1 ,2 ]
Vukomanovic, Vladislav [5 ,6 ]
Prijic, Sergej [5 ]
Zivkovic, Nikola [7 ]
Randjelovic, Dusica [1 ]
机构
[1] Ctr Clin, Pediat Clin, Nish, Serbia
[2] Univ Nis, Fac Med, Nish, Serbia
[3] Ctr Clin, Otorhinolaryngol Clin, Nish, Serbia
[4] Ctr Clin, Neurol Clin, Nish, Serbia
[5] Dr Vukan Cupic, Mother & Child Hlth Inst, Belgrade, Serbia
[6] Univ Belgrade, Fac Med, Belgrade 11001, Serbia
[7] Univ Nis, Inst Pathol, Fac Med, Nish, Serbia
关键词
beta-blocker; epistaxis; children; HEREDITARY HEMORRHAGIC TELANGIECTASIA; ENDOTHELIAL-CELLS;
D O I
10.2147/DDDT.S41756
中图分类号
R914 [药物化学];
学科分类号
100701 ;
摘要
We hypothesized that some characteristics of beta-blockers, including negative inotropic, peripheral vasoconstrictor, and antiangiogenic effects, might be potentially useful in treating children with epistaxis. From June 2010 to March 2012, a total of seven children with recurrent primary epistaxis resistant to conventional management were observed at our institution. An overall effectiveness of propranolol was noted in all seven children when given a dose of 1.5-2 mg/kg/day (divided into three doses) as a second line therapy for terminating epistaxis. Based on our first experience, we believe that propranolol could be a favorable treatment option for patients with primary epistaxis.
引用
收藏
页码:127 / 129
页数:3
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