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剖宫产术中对胶体溶液Volplex发生严重过敏反应:一例报告及文献复习

Severe Anaphylaxis to Volplex, a Colloid Solution during Cesarean Section: A Case Report and Review.

作者信息

Karri K, Raghavan R, Shahid J

机构信息

Obstetrics and Gynaecology, Alexandra Hospital, Redditch B98 7UB, UK.

出版信息

Obstet Gynecol Int. 2009;2009:374791. doi: 10.1155/2009/374791. Epub 2009 May 26.

Abstract

Anaphylaxis is a life-threatening event that can occur anytime during pregnancy. It has been reported following administration of various substances with adverse maternal and neonatal consequences. It should be considered in the differential diagnosis of intrapartum collapse. We encountered a case of severe anaphylactic reaction following a routine cesarean section. It is very important that all members of the perinatal team are aware of early recognition and management of anaphylactic reaction. We think that it is important to highlight this as a further case report of severe anaphylactic reaction to a colloid solution and discuss the pathophysiology and management.

摘要

过敏反应是一种危及生命的事件,可在孕期的任何时候发生。据报道,在使用各种物质后会出现这种情况,对母亲和新生儿均有不良后果。在鉴别诊断产时虚脱时应考虑到这一点。我们遇到了一例在常规剖宫产术后发生严重过敏反应的病例。围产期团队的所有成员都能尽早识别并处理过敏反应非常重要。我们认为,将此作为胶体溶液严重过敏反应的又一例报告并讨论其病理生理学及处理方法很重要。

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本文引用的文献

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Risk assessment in anaphylaxis: current and future approaches.过敏反应中的风险评估:当前与未来的方法
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Maternal anaphylaxis and fetal brain damage after intrapartum chemoprophylaxis.
J Perinat Med. 2004;32(4):375-7. doi: 10.1515/JPM.2004.070.
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