Monteil A L, Rioux J, Brabet L, Petitdidnier M, Kienlen J, Du Cailar J
Ann Anesthesiol Fr. 1976;17(2):95-9.
Three cases of reactions of intolerance to Rheomacrodex were observed during these last four years in our Department, and this led us to attempt to sum up their exact nature and in particular the possibility of an immuno-allergic orgin. From the clinical standpoint, the symptomatology is dominated by the combination of abrupt collapse associated with Quincke's edema in two cases, and with bronchospasm in the third. The course was rapidly favourable under respiratory and circulatory emergency resuscitation. The immuno-allergic enquiry carried out in one case, did not enable one to demonstrate the responsibility of an antigen-antibody reaction. Analysis of the different works appeared on this subject, in particular those of the Swedish school, of W. RICHTER et col., did not enable one to pick out with any certainty the responsibility of an antigen-antibody conflict in the genesis of these reactions.
在过去四年里,我们科室观察到了三例对 Rheomacrodex(一种药物名称,可音译为“流变聚明胶肽”)不耐受的反应病例,这促使我们试图总结其确切性质,尤其是探讨是否存在免疫过敏起源的可能性。从临床角度来看,症状表现主要为两例伴有昆克水肿(Quincke's edema)的突然虚脱以及第三例伴有支气管痉挛的情况。在呼吸和循环系统紧急复苏措施下,病情迅速好转。对其中一例进行的免疫过敏调查未能证实抗原 - 抗体反应的责任。对该主题相关的不同研究,特别是瑞典学派以及 W. RICHTER 等人的研究进行分析后,也无法确切找出抗原 - 抗体冲突在这些反应发生过程中的责任。