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題 名 | Lethal Acute Pulmonary Edema Following Intravenous Naloxone in a Patient Received Unrelated Bone Marrow Transplantation=靜脈注射Naloxone導致急性致死性肺水腫於一接受非親屬間骨髓移植病患:一病例報告 |
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作 者 | 王緯書; 邱宗傑; 謝瑞坤; 劉俊煌; 顏厥全; 陳博明; | 書刊名 | 中華醫學雜誌 |
卷 期 | 60:4 1997.10[民86.10] |
頁 次 | 頁219-223 |
分類號 | 415.46 |
關鍵詞 | 急性肺水腫; Acute pulmonary edema; Naloxone; |
語 文 | 英文(English) |
中文摘要 | 一位39歲男性骨髓性白血病病患,接受過6次化學治療,其骨髓檢查呈完全緩解狀態。此病患先前並無心肺方面之疾病。病患於84年9月在本院接受人類白血球抗原(HL)全吻合之非親屬間骨髓移植。移植前之胸部X光片、心電圖、及肺功能檢查均為正常。骨髓移植過程順利,且系列骨髓檢查均顯示植入成功。移植後每週一次之胸部X光片追蹤檢查亦為正常,並無水份過多(fluid overload)之現象。骨髓移植後第38天病患接受靜注10公分絲嗎啡以解除嚴重之口腔發炎疼痛,然立刻出現呼吸抑制現象。病患隨即接受靜注0.4公絲naloxone。一小時後病患出現嚴重之氣促現象,急照胸部X光片顯示急性肺水腫。經緊急處置後病串仍於兩小時內陷入昏迷,並於24小時內死亡。 Naloxone導致之急性肺水腫是極為罕見且致命之併發症。文獻上只有少數病例報告。特提出一接受非親屬間骨髓移植之白血病病患於靜注naloxone之後出現急性致死性肺水腫之病例,並討論其臨床表徵及病理機轉。 |
英文摘要 | A 39-year-old man was diagnosed as having acute myeloid leukemia and received 6 courses of chemotherapy. The bone marrow revealed complete remission. He had no prior history of cardiac or pulmonary disease. HLA-matched unrelated bone marrow transplantation (BMT) was performed in September 1995. Pre-transplant studies including chest X-ray, electrocardiogram and pulmonary function test were normal. The procedure of BMT was smooth and serial bone marrow examination showed successful engraftment. Serial chest X-rays done every week after BMT were normal. There were no evidence of fluid overload but severe mucositis was noted. On the 38th day after BMT, intravenous injection of 10mg morphine was prescribed to relief severe oral pain. Respiratory depression developed right after, and naloxone 0.4mg was given by an intravenous route. One hour later, severe shortness of breath was noted and the emergent chest X-ray revealed acute pulmonary edema. He became unconscious 2 hours later and expired 24 hours after naloxone injectionin spite of intensive medical treatment. Naloxone-induced acute pulmonary edema is an extremely rare but lethal complication. Only a few cases have been reported in English literature. We report a case of acute myeloid leukemia receiving unrelated BMT to develop acute pulmonary edema rapidly after intravenous injection of naloxone. The clinical features and pathogenesis are discussed. |
本系統中英文摘要資訊取自各篇刊載內容。