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目的报道并分析1例肺部感染患者使用米卡芬净治疗过程中出现急性心力衰竭的不良反应。方法采用病例报告的形式并结合文献检索进行分析。结果患者可排除由并发症、合并用药及原发病进展等因素引起急性心力衰竭,考虑为米卡芬净所致。结论对于特殊人群如老年患者、心功能不全、存在多种并发症等患者,须警惕米卡芬净少见的不良反应,密切观察并及时处理,避免出现严重的不良后果。
Objective To report and analyze the adverse reactions of acute heart failure during the course of treatment with micafungin in one patient with pulmonary infection. Methods The form of case report was combined with literature search. Results Patients can be ruled out by complications, combined medication and the incidence of primary disease caused by acute heart failure and other factors, consider the net due to micafungin. Conclusions For patients with special populations such as elderly patients, cardiac insufficiency and multiple complications, we should be alert to the rare side effects of micafungin, observe closely and treat it promptly to avoid serious adverse consequences.