红曲米致横纹肌溶解症2例
Adverse Drug Reactions Journal(2023)
Abstract
2例患者(例1男,61岁;例2女,58岁)均因血脂异常使用红曲米6 g口服、1次/d。例1有血吸虫性肝硬化、胆汁淤积性肝炎,三酰甘油5.32 mmol/L,口服红曲米26 d后出现四肢无力、肌酸激酶(CK)604 U/L。立即停用红曲米,3 d后患者出现下肢肌肉酸痛,CK最高达117 748 U/L,经地塞米松、补液水化治疗12 d后上述症状逐渐消失,CK 79 U/L。例2为急性肝炎患者,三酰甘油2.34 mmol/L,口服红曲米24 d后出现双下肢乏力、肌肉酸痛,CK最高达52 222 U/L。立即停用红曲米,予甲泼尼龙、补液水化等治疗12 d后病情好转,CK 210 U/L。
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Key words
Hyperlipidemias,Rhabdomyolysis,Hypertriglyceridemia,Red yeast rice
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