《急診每日一題》氨甲環(huán)酸副作用2021年8月
Question?問題:
In recent years, tranexamic acid has been explored as a treatment for various causes of uncontrolled or coagulopathic bleeding in Emergency Medicine. What neurologic adverse effect has been reported after TXA administration??
近年來,氨甲環(huán)酸在急診醫(yī)學(xué)領(lǐng)域被用來治療多種難以控制或凝血障礙出血。已有報告顯示,在使用TXA后會出現(xiàn)什么神經(jīng)系統(tǒng)副作用?

Answer?答案:
TXA antagonizes the inhibitory neurotransmitter gamma-aminobutyric acid, which can increase seizure risk. High doses of TXA (> 100 mg/kg) are associated with an increased risk of seizure activity.?
TXA對抑制性神經(jīng)介質(zhì)胺基丁酸有抑制作用,增加癲癇危險。大劑量TXA(> 100 mg/kg)與增加癲癇風(fēng)險有關(guān)。
參考文獻(xiàn):
Ann of EM, epub, 8/2/21
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