中国实用医药2024,Vol.19Issue(9) :140-142.DOI:10.14163/j.cnki.11-5547/r.2024.09.037

卡瑞利珠单抗致昏迷罕见不良反应1例

A case of rare adverse reaction of coma caused by camrelizumab

李贝贝 解新生 李冲 樊宗兵
中国实用医药2024,Vol.19Issue(9) :140-142.DOI:10.14163/j.cnki.11-5547/r.2024.09.037

卡瑞利珠单抗致昏迷罕见不良反应1例

A case of rare adverse reaction of coma caused by camrelizumab

李贝贝 1解新生 2李冲 3樊宗兵4
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作者信息

  • 1. 236700 利辛县人民医院药学部
  • 2. 236700 利辛县人民医院药学部;236700 利辛县人民医院泌尿外科
  • 3. 236700 利辛县人民医院肿瘤内科一病区
  • 4. 236000 安徽医科大学附属阜阳医院药剂科
  • 折叠

摘要

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.

Abstract

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.

关键词

卡瑞利珠单抗/昏迷/药物不良反应

Key words

Camrelizumab/Coma/Adverse drug reactions

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基金项目

中国药学会全国医药信息网科普研究重点项目(CMEI2022KPYJ00532)

亳州市卫生健康委科研项目(bzwj2022b027)

安徽医科大学科研项目(2021xkj074)

出版年

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
参考文献量20
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