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2017 ; 13
(4
): 1403-1407
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English Wikipedia
Therapeutic efficacy of phentolamine in the management of severe hand, foot and
mouth disease combined with pulmonary edema
#MMPMID28413485
Yan Z
; Shang Y
; Li F
; Xie F
; Qian H
; Zhang Y
; Yue B
Exp Ther Med
2017[Apr]; 13
(4
): 1403-1407
PMID28413485
show ga
The aim of this study was to examine the effects of phentolamine on severe hand,
foot and mouth disease (HFMD) combined with pulmonary edema (PE). From May 2008
to December 2012, 53 children with severe HFMD plus PE were enrolled in the
treatment group, receiving phentolamine intravenously at a loading dose of 5
µg/kg/min. The control group comprised 52 children with the same disease who did
not receive phentolamine infusion. Data concerning creatine kinase (CK), CK-MB,
cardiac troponin I (cTnI), heart rate, systolic blood pressure (SBP) and the
duration of ventilation dependence and hospitalization were collected. Adverse
events were also recorded. It was found that the phentolamine-treated patients
exhibited significantly lower CK, CK-MB and cTnI levels, heart rate and SBP than
the controls (P<0.01 for all parameters). The average duration of ventilator
dependence and hospitalization was significantly shorter (P<0.01) in the
phentolamine group than in the control group. It was also found that the overall
mortality rate was lower in the phentolamine group (5.8%) than in the control
group (11.5%). No adverse events were observed in either group. Thus, these
results offer preliminary evidence that phentolamine reduces mortality and
relieves the symptoms of EV71-induced PE. Phentolamine is a potential therapeutic
agent for this highly lethal disorder.