Palobart C, Cros J, Orsel I, Nathan N
Département d'anesthésie-réanimation, CHU Dupuytren, 2 avenue Martin-Luther-King, Limoges cedex, France.
Ann Fr Anesth Reanim. 2009 Feb;28(2):168-70. doi: 10.1016/j.annfar.2008.12.016. Epub 2009 Feb 18.
Anaphylaxis during anaesthesia is a rare event which is mainly related to neuromuscular blocking agents. Latex and antibiotics are less frequently incriminated. However, allergy may be triggered by other less frequent and hidden allergen. Among these, povidone is largely used in numerous therapeutics and cosmetics. We report here an exceptional case of grade 3 anaphylactic shock with iodinated povidone administered via a rectal route.
麻醉期间发生过敏反应是一种罕见事件,主要与神经肌肉阻滞剂有关。乳胶和抗生素引发过敏反应的情况较少见。然而,过敏反应可能由其他不太常见且隐匿的过敏原触发。其中,聚维酮广泛应用于众多治疗药物和化妆品中。我们在此报告一例罕见病例,患者通过直肠途径给予含碘聚维酮后发生了3级过敏性休克。