Department of Anesthesiology and Pain Medicine, Pureun Hospital, Daegu, Korea.
Korean J Anesthesiol. 2010 Dec;59(6):411-5. doi: 10.4097/kjae.2010.59.6.411. Epub 2010 Dec 31.
Anaphylaxis or anaphylactoid reaction in pediatric patient during anesthesia is rare. We report a rocuronium induced anaphylactic reaction in a 33-month-old female. The patient was scheduled to undergo escharectomy due to injuries suffered from a major burn. Shortly after administration of rocuronium, the patient developed severe hypotension, tachycardia, and hypoxia. A similar reaction occurred after administration of rocuronium on subsequent anesthesia. She underwent uneventful anesthesia with volatile induction and maintenance of anesthesia with sevoflurane on her next 7 operations without using of muscle relaxant.
在小儿患者的麻醉期间发生过敏反应或类过敏反应较为罕见。我们报告一例 33 月龄女童因罗库溴铵诱导的过敏反应。该患儿因严重烧伤拟行焦痂切除术。罗库溴铵给药后不久，患儿出现严重低血压、心动过速和缺氧。随后的麻醉中再次给予罗库溴铵时也出现了类似反应。在接下来的 7 次手术中，患儿使用挥发性诱导药物进行麻醉，并用七氟醚维持麻醉，未使用肌松药，过程均较为顺利。
