胸腺肽致不良反应87例文献分析Adverse Drug Reactions Induced by Thymosin Injection:Literature Analysis of 87 Cases
曾英彤;李洵;李智辉;
ZENG Ying-tong,LI Xun,LI Zhi-hui(Department of Pharmacy,Guangdong General Hospital,Guangdong Academy of Medical Sciences;Guangzhou,Guangdong 510120,China)
摘要(Abstract):
目的探讨胸腺肽注射剂致不良反应的一般规律及特点,指导临床合理用药。方法通过检索2000~2009年国内公开发行的医药学期刊报道应用胸腺肽注射剂致不良反应案例,并进行统计分析。结果胸腺肽注射剂致ADR在各年龄组基本上没有差异,发生时间多集中在用药后30 min内,主要表现为变态反应,以过敏性休克为主。结论临床应严格控制胸腺肽的适应症,用药前询问过敏史,皮试,密切监护,减少不良反应的发生。
Objective To study the general pattern and characteristics of the adverse drug reactions(ADRs) induced by thymosin injections and to direct rational drug use.Methods ADRs induced by thymosin injections published in domestic medical journals from 2000~2009 were retrieved and analyzed statistically.Results ADRs induced by thymosin injection occurred mostly within 30 minutes after drug administration in patients of different ages.The main ADRs of thymosin were allergic reactions,the most common manifestation was anaphylactic shock.Conclusion The scope of application should be strictly controlled in clincal practice.The allergic history of the patients should be inquired and skin test should be done before drug administration.The patient shuold be cared tightly after administration so as to reduce the incidences of ADRs.
关键词(KeyWords):
胸腺肽;不良反应;文献分析
thymosin;adverse drug reaction(ADR);literature analysis
基金项目(Foundation):
作者(Author):
曾英彤;李洵;李智辉;
ZENG Ying-tong,LI Xun,LI Zhi-hui(Department of Pharmacy,Guangdong General Hospital,Guangdong Academy of Medical Sciences;Guangzhou,Guangdong 510120,China)
Email:
DOI:
参考文献(References):
- [1]苏琰,胸腺肽致过敏性休克一例[J].华夏医学,2002,15(4):452.
- [2]冯亮,池频频,黄玉波.胸腺素引起严重过敏性休克致心跳骤停[J].药物不良反应,2005,7(5):371-372.
- [3]云浩,刘英祥,刘占标,等.健康成人肌注胸腺肽致严重过敏反应一例[J].中华内科杂志,2003,42(12):850.
- [4]陈红鸽,刘淼.注射用胸腺肽致过敏性休克1例[J].中国民族民间医药,2009,18(15):81.
- [5]王新胜,关兰荣,窦淑霞.胸腺肽致严重胃肠道反应1例[J].中华实用医学,2001,3(12):14.
- [6]张玉蓓.胸腺肽不良反应的临床表现极其防治[J].药学进展,2008,32(6):285-287.
- [7]丁金华,匡嚼.静滴胸腺肽致变态反应1例[J].现代中西医结合杂志,2008,17(27):4322.
- [8]张萌,于会琴.胸腺肽致过敏反应l例[J].社区医学杂志,2007,5(3):60.
- [9]姚德厚,周雪勤.小牛胸腺肽诱发中、重症支气管哮喘各1例报道[J].西南军医,2006,8(2):92.
- [10]朱光竹.注射用胸腺肽致过敏性哮喘4例[J].中原医刊,2007,34(23):88.
- [11]李坚,谢汝萍,肖卫忠,等.胸腺肽致中枢神经系统脱髓鞘病2例[J].药物不良反应杂志,2004,6(6):406-407.
- [12]张玉萍,谢平,张玉秋,等.19例胸腺肽不良反应报告分析[J].药物不良反应杂志,2004,8(1):52.
- [13]常连平,马萍,张新.胸腺肽制剂的不良反应分析[J].中国医药技术经济与管理,2008,2(6):66-71.
- [14]李坚,肖卫忠,赵淑清,等.注射胸腺肽后发生急性脱髓鞘性脑病1例[J].中国新药杂志,2004,12(11):959.
- [15]李晓晖,吴晓鹭.胸腺肽致精神抑郁2例报告[J].中国药师,2001,4(1):50.
- [16]奚雪梅,周宝鑫.胸腺肽致室上性心动过速1例[J].保健医学研究与实践,2009,6(3):96.
- [17]窦武宇.注射用胸腺肽引起心律失常一例[J].西北药学杂志,1998,13(3):108.
- [18]李艳丽,孙婷,吴萍.胸腺肽注射液的少见不良反应[J].中国药业,2004,13(7):108.
- [19]何玉红,张玉敏.大剂量静滴胸腺肽致头痛、胃肠道反应[J].中华临床医学杂志,2001,3(12):14.
- [20]苏永珍,凌云.胸腺肽注射剂引起脓疱疹[J].药物不良反应杂志,2005,7(4):311.
- [21]李华,冯高章,刘志敏,等.注射胸腺肽引起固定型药疹1例[J].哈尔滨医科大学学报,1994,28(3):200.
- [22]刘光德,陈剑虹.肌内注射胸腺肽后发生银屑病二例[J].中华皮肤科杂志,2004,37(3):178.
- [23]戴美仙,戴玉红,孙红花.胸腺肽引起过敏性紫癜1例报告[J].中华腹部疾病杂志,2006,6(6):C002.
- [24]谭晓黎,唐振香.胸腺肽粉针致血栓性浅静脉炎1例[J].山东医药,2005,45(20):79.
- [25]刘恩生.胸腺肽注射剂致关节痛和腓神经炎[J].药物不良反应杂志,2004,6(5):345.
- [26]郝春蕾.胸腺肽注射液引起月经失调1例[J].药物不良反应杂志,2004,6(5):346.
- 曾英彤
- 李洵
- 李智辉
ZENG Ying-tong- LI Xun
- LI Zhi-hui(Department of Pharmacy
- Guangdong General Hospital
- Guangdong Academy of Medical Sciences
- Guangzhou
- Guangdong 510120
- China)
- 曾英彤
- 李洵
- 李智辉
ZENG Ying-tong- LI Xun
- LI Zhi-hui(Department of Pharmacy
- Guangdong General Hospital
- Guangdong Academy of Medical Sciences
- Guangzhou
- Guangdong 510120
- China)