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注射用奥沙利铂疑致三叉神经痛
引用本文:王玉平,王云娜,许震,吴佳玉.注射用奥沙利铂疑致三叉神经痛[J].中国药物应用与监测,2012,9(1):59-60.
作者姓名:王玉平  王云娜  许震  吴佳玉
作者单位:1. 河南省洛阳市中心医院药剂科,河南洛阳,471000
2. 广州中医药大学附属中山中医院耳鼻喉科,广东中山,528400
3. 河南省洛阳市中心医院普外科,河南洛阳,471000
摘    要:1例60岁女性患者,因胃癌术后接受FolFox方案(奥沙利铂150mg+替加氟0.75 g),辅以康艾注射液40 mL化疗.行第三次静脉滴注化疗时,用药后第3天,患者出现左侧面部及口腔过电样疼痛,呈发作性,伴张口困难,经神经内科会诊确诊为三叉神经痛.遂给予卡马西平片0.1g,每日3次,服用1d后,患者出现头晕,遂停用卡马西平,1周后患者三叉神经痛症状自行消失.

关 键 词:奥沙利铂  三叉神经痛  药品不良反应

Trigeminal neuralgia suspiciously caused by oxaliplatin for injection
Authors:WANG Yu-ping  WANG Yun-na  XU Zhen  WU Jia-yu
Institution:1.Department of Medicine,the Center Hospital of Luoyang City,Luoyang 471000,China;2.The Hospital of Guangzhou University of Traditional Chinese Medicine,Zhongshan 528400,China;3.General Surgery Department,the Center Hospital of Luoyang City,Luoyang 471000,China)
Abstract:One 60-year-old woman with gastric cancer received an intravenous infusion of oxaliplatin 150 mg,tegafur 0.75 g and Kangai injection 40 mL for the third chemotherapy after operation.Three days later,the patient had left facial and oral pain,like electricity,and episodic,with trismus.Trigeminal neuralgia was diagonsed after consultation.Carbamzepine tablets 0.1 g,three times a day was given.After one day,the patient appeared dizzy.Then carbamazepine was withdrawn.One week later,the symptoms of trigeminal neuralgia disappeared.
Keywords:Oxaliplatin  Trigeminal neuralgia  Adverse drug reaction
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