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[两例对神经肌肉阻滞剂不良反应后的过敏调查及后续全身麻醉的管理]

[Allergy investigations after two cases of adverse reactions to a neuromuscular blocking agent and management for subsequent general anaesthesia].

作者信息

Louvier N, Chomel A, Collet E, Juniot A, Pillet M

机构信息

Département d'anesthésie-réanimation, CHU Dijon, hôpital général, 21000 Dijon, France.

出版信息

Ann Fr Anesth Reanim. 2003 Jan;22(1):54-7. doi: 10.1016/s0750-7658(02)00802-x.

Abstract

We report two cases of severe anaphylactic reactions to rocuronium. Diagnosis was confirmed by skin tests and specific IgE assay. Cross-reactivity to all neuromuscular blocking agents was investigated by intradermal tests and leucocyte histamine release test. Intradermal tests and leukocyte histamine release were negative for cisatracurium. The two patients had undergone a subsequent general anaesthesia using cisatracurium and did not present any adverse reaction.

摘要

我们报告了两例对罗库溴铵严重过敏反应的病例。通过皮肤试验和特异性IgE检测确诊。通过皮内试验和白细胞组胺释放试验研究了对所有神经肌肉阻滞剂的交叉反应性。顺式阿曲库铵的皮内试验和白细胞组胺释放试验均为阴性。这两名患者随后使用顺式阿曲库铵进行了全身麻醉,未出现任何不良反应。

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