[Vasospasm following liver rupture, dopamine and hydergine infusion].
A severe vasospastic reaction in both legs in the course of intensive-care therapy in a 16-year old patient with polytrauma is described. Since vasopathy was completely absent in the angiograph, a drug-induced cause is discussed. Dopamine and Hydergin, or a combination of both, were the mainly suspected drugs. Therapeutic measures included nitroglycerin given intravenously and lidocain intraarterially, leading eventually to "restitutio ad integrum".
D000293:Adolescent; D003422:Critical Care; D004088:Dihydroergotoxine / Q000009:adverse effects* / Q000627:therapeutic use; D004298:Dopamine / Q000009:adverse effects* / Q000627:therapeutic use; D004305:Dose-Response Relationship, Drug; D004359:Drug Therapy, Combination; D006498:Hepatectomy; D006801:Humans; D007511:Ischemia / Q000139:chemically induced*; D007866:Leg / Q000098:blood supply*; D008099:Liver / Q000293:injuries*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D012421:Rupture; D014661:Vasoconstriction / Q000187:drug effects
D004088:Dihydroergotoxine; D004298:Dopamine
Vasospasmus nach Leberruptur, Dopamin- und Hydergin-Infusion.