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疑似阿帕他胺片相关致中毒性表皮坏死松解症继发急性呼吸窘迫综合征死亡1例

Fatal Toxic Epidermal Necrolysis Susp ected to be Induced by Apalutamide and Complicated by Acute Respi ratory Distress Syndrome:A Case Report
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摘要 本病例报道了1例80岁男性患者,因前列腺癌接受治疗过程中出现严重不良反应并最终死亡的情况。患者在口服阿帕他胺片进行内分泌治疗后,出现全身多发皮疹等一系列症状,经多科室会诊及后续诊断,考虑为Stevens-Johnson综合征/中毒性表皮坏死松解症继发急性呼吸窘迫综合征,尽管积极抢救,但因患者年龄大且合并多种基础疾病,最终抢救无效死亡。通过对该病例的详细分析,探讨相关药物不良反应与死亡之间的关联性,为进一步临床用药安全提供参考。 This case report describes t he situation of an 80-year-old male pat ient who experienced severe adverse reactions and ultimately died during the treatment of prostate cancer.Afte r taking apalutamide tablets for endo crine therapy,the patient developed a serie s of symptoms,including multiple rash es all over the body.After consultatio n with multiple departments and subsequ ent diagnosis,it was considered that the patient had Stevens-Johnson syndrome/toxic epidermal necrolysis fol lowed by acute respiratory distress s yndrome.Despite active resuscitation,the patient died due to his advanced age and multiple underlying diseases.Through a detailed analysis of this case,the a ssociation between the adverse drug re actions and death was explored,provid ing a reference for further clinical m edication safety.
作者 肖东豪 陈洪骏 郑庄潮 XIAO Dong-hao;CHEN Hong-jun;ZHENG Zhuang-chao(Zhaoqing Institute of Drug Control,Zhaoqing 526060,China)
出处 《海峡药学》 2025年第11期93-95,共3页 Strait Pharmaceutical Journal
关键词 前列腺癌 阿帕他胺片 STEVENS-JOHNSON综合征 中毒性表皮坏死松解症 急性呼吸窘迫综合征 药物不良反应 病例分析 Prostate cancer Apalutamid e tablets Stevens-Johnson syndrome T oxic epidermal necrolysis Acute resp iratory distress syndrome Adverse drug reactions Case analysis
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