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卡瑞利珠单抗致昏迷罕见不良反应1例

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回顾性分析 1 例卡瑞利珠单抗致昏迷罕见不良反应的病例.患者,男,73 岁,诊断为右肺恶性肿瘤,既往行多程多线治疗.患者于 2021 年 12 月 12 日 08:43 行卡瑞利珠单抗 200 mg,d1,q.2 周.第 3 程免疫治疗,卡瑞利珠单抗输注 10 min后,突发意识丧失、呼之不应,考虑系药物引起的不良反应,立即停止输注卡瑞利珠单抗,并立即更换生理盐水 250 ml静脉滴注,测指间血糖 6.1 mmol/L,心电监护示:血压 118/74 mm Hg(1 mm Hg=0.133 kPa),呼吸 20 次/min,心率 87 次/min,患者昏迷状态持续约3 min,08:56 患者症状明显缓解,意识恢复,对答切题.
A case of rare adverse reaction of coma caused by camrelizumab
This paper retrospectively analyze a case with rare adverse reaction of coma induced by camrelizumab.Patient,male,73 years old,diagnosed with malignant tumor of the right lung,previously treated with multiple courses and lines of therapy.On December 12,2021,at 08:43,the patient underwent a third course of immunotherapy with 200 mg d1 q.2 weeks of camrelizumab.After a 10 min infusion of camrelizumab,the patient suddenly lost consciousness and was unable to respond.Considering the adverse reactions caused by the drug,the infusion of camrelizumab was stopped immediately,and 250 ml of normal saline was immediately replaced by intravenous infusion.Interfinger blood glucose was measured at 6.1 mmol/L,and ECG monitoring showed that blood pressure 118/74 mm Hg(1 mm Hg=0.133 kPa),breathing rate 20 times/min,heart rate 87 beats/min,the patient's coma lasted for about 3 min.At 08:56,the patient's symptoms significantly improved,consciousness recovered,and answered the questions accurately.

CamrelizumabComaAdverse drug reactions

李贝贝、解新生、李冲、樊宗兵

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236700 利辛县人民医院药学部

236700 利辛县人民医院泌尿外科

236700 利辛县人民医院肿瘤内科一病区

236000 安徽医科大学附属阜阳医院药剂科

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卡瑞利珠单抗 昏迷 药物不良反应

中国药学会全国医药信息网科普研究重点项目亳州市卫生健康委科研项目安徽医科大学科研项目

CMEI2022KPYJ00532bzwj2022b0272021xkj074

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(9)
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