Uncontrolled central hyperthermia by standard dose of bromocriptine:A case report  

作　　者：Xin Ge Xue Luan 

机构地区：[1]Department of Intensive Care Unit,Wuxi 9th Affiliated Hospital of Soochow University,Hand Institution of Wuxi City,Wuxi 214000,Jiangsu Province,China [2]Traumatic Center,Wuxi 9th Affiliated Hospital of Soochow University,Hand Institution of Wuxi City,Wuxi 214000,Jiangsu Province,China [3]Department of Neurosurgery,Central Hospital of Jinzhou,Jinzhou 121000,Liaoning Province,China

出　　处：《World Journal of Clinical Cases》2020年第23期6158-6163,共6页世界临床病例杂志

摘　　要：BACKGROUND Some patients present to the intensive care unit due to noninfectious pathologies resulting in fever,especially acute neurological injuries,including brain trauma and intracranial haemorrhage.The cause has been identified to be central hyperthermia characterized by a high core temperature and a poor response to antipyretics and antibiotics.However,no proper guidelines on how to treat central hyperthermia have been developed for clinical practice.CASE SUMMARY A 63-year-old woman was transferred to our hospital due to injury after a traffic accident.Eight hours after admission,her pupils enlarged bilaterally from 2.5 mm to 4.0 mm.She developed severe coma and underwent decompressive craniectomy.She was diagnosed with central hyperthermia after surgery and was prescribed bromocriptine.The standard dose of bromocriptine could not control her hyperpyrexia,and we prescribed 30 mg a day to control her temperature.CONCLUSION Bromocriptine may be effective in controlling central hyperthermia and have a dosage effect.

关 键 词：Central hyperthermia BROMOCRIPTINE Side effect Case report 

分 类 号：R969[医药卫生—药理学]