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[麻醉学中使用药物的抗原性]

[Antigenicity of drugs used in anesthesiology].

作者信息

Lecomte J

出版信息

Ann Anesthesiol Fr. 1976;17(3):347-53.

PMID:10785
Abstract

The authors studies the factors involved in the antigenicity of the principal medications used in anaesthetics, including general anaesthesia, local anaesthetics and muscle relaxants. Any attempt at establishing a correlation between the chemical properties of these medications and their haptenic power would seem difficult by virtue of the fact that the complications seen in clinical practice are characterised by their rarity. The latter may be explained either on the basis of a low haptenic power of the substances or by the fact of their administration which is rarely repeated after a short time interval. Finally, the difficulties of this correlation are even further increased by the fact that the haptenic power is not always due to the medication itself, but sometimes to one of its metabolites.

摘要

作者研究了麻醉中使用的主要药物的抗原性相关因素,包括全身麻醉药、局部麻醉药和肌肉松弛剂。鉴于临床实践中所见并发症的特点是罕见,要在这些药物的化学性质与其半抗原能力之间建立关联似乎很困难。后者可以基于物质的低半抗原能力来解释,或者基于其给药情况来解释,即在短时间间隔后很少重复给药。最后,由于半抗原能力并不总是归因于药物本身,有时归因于其代谢产物之一,这种关联的难度进一步增加。

相似文献

1
[Antigenicity of drugs used in anesthesiology].[麻醉学中使用药物的抗原性]
Ann Anesthesiol Fr. 1976;17(3):347-53.
2
[Anaphylactic shock in anesthesia].[麻醉中的过敏性休克]
Ann Anesthesiol Fr. 1976;17(2):125-30.
3
[Role of drug combinations in the facilitation of or protection against allergic complications caused by drugs used in anesthesiology].[药物联合在促进或预防麻醉学中使用的药物引起的过敏并发症中的作用]
Ann Anesthesiol Fr. 1976;17(3):379-83.
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[Allergic reactions and pseudoallergies in surgical interventions with general anesthesia].[全身麻醉手术干预中的过敏反应和类过敏反应]
Allergol Immunopathol (Madr). 2000 Jan-Feb;28(1):24-36.
5
[Predictive value of the allergologic profile in anesthesia and resuscitation].[过敏学特征在麻醉和复苏中的预测价值]
Allerg Immunol (Paris). 1998 Jun;30(6):180-2.
6
[Comparative study of histamine liberation after administration of anesthetic substances, curare agents and plasma substitutes in man].[人体使用麻醉剂、箭毒制剂和血浆代用品后组胺释放的比较研究]
Ann Anesthesiol Fr. 1977;18(7-8):691-700.
7
[Various risk factors in the precipitaiton of complications caused by anesthetics and muscle relaxants].[麻醉剂和肌肉松弛剂引发并发症的各种危险因素]
Ann Anesthesiol Fr. 1976;17(2):165-76.
8
Laboratory histamine measurements to study type I adverse allergic/pseudoallergic reactions to agents used in anaesthesia and surgery.通过实验室组胺测量来研究对麻醉和手术中所用药物的I型不良过敏/类过敏反应。
Monogr Allergy. 1992;30:74-93.
9
Drug allergens, haptens, and anaphylatoxins.药物过敏原、半抗原和过敏毒素。
Clin Allergy Immunol. 2004;18:387-419.
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Biological tests for diagnosing the IgE-mediated allergy to anesthetic drugs.用于诊断对麻醉药物的IgE介导过敏反应的生物学检测。
Monogr Allergy. 1992;30:94-107.