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药物致5-羟色胺综合征1例报告及文献分析
One Case Report of Drug Caused Serotonin Syndrome and its Literature Analysis
  
DOI:
中文关键词:  5-羟色胺能药物  5-羟色胺综合征  药物不良反应
英文关键词:Serotonin to drugs  Serotonin syndrome  Case report  Literature analysis
基金项目:
作者单位
穆维静 北京市普仁医院药剂科(北京 100062) 
杨静 北京大学人民医院药剂科 
任晓蕾 北京大学人民医院药剂科 
刘一 北京大学人民医院药剂科 
张海英 北京大学人民医院药剂科 
冯婉玉 北京大学人民医院药剂科 
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中文摘要:
      摘 要 目的:探讨药物致5-羟色胺综合征的临床特点及原因,为临床合理用药提供参考。方法: 报道我院1例疑似氟西汀致5-羟色胺综合征的病历,并通过检索1994~2013年国内医药期刊报道的相关文献进行统计和分析。结果:文献报道以及我院氟西汀致可疑5-羟色胺综合征共40例,其中14例是单用一种药物引起的,其余26例都是联合用药引起。5-羟色胺综合征大部分发生在用药24 h内(42.5%)。经停药及对症治疗后大部分病例(95%)症状缓解。结论:药物引起5-羟色胺综合征时有发生,临床应用时应密切关注患者的变化,以减少不良反应的发生。
英文摘要:
      ABSTRACT Objective:: To investigate the clinical characteristics and causes of serotonin syndrome induced by drugs to provide reference for rational drug use in clinical practice. Methods:1 case of suspected fluoxetine induced serotonin syndrome in our hospital was reported, and relevant literature published in domestic medical journals through 1994 ~2013 were retrieved and statistically analyzed. Results:According to reports in the literature and case in our hospital, a total of 40 patients were collected. 14 cases were induced by a single drug use and the rest 26 cases were caused by combined use of drugs. The serotonin syndrome occurred in 42.5% of the patients within 24hrs administration. The symptoms were relieved in 95% of the patients after drug withdrawal and symptomatic treatment. Conclusion:Drug induced serotonin syndrome occurred occasionally, and safety monitoring should be carried out in patients during the application of drugs to reduce the incidence of ADR.
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