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手术开始后立即由乳胶外科手套引起的过敏反应——病例报告。

Anaphylaxis caused by latex surgical gloves immediately after starting surgery -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S99-S102. doi: 10.4097/kjae.2010.59.S.S99. Epub 2010 Dec 31.

Abstract

Anaphylaxis is an acute and fatal systemic allergic reaction to an allergen, and it can be an unpredictable and life-threatening cause during anesthesia. Latex is the second most common cause of anaphylaxis following the use of neuromuscular blocking agents during general anesthesia or surgery. We report on a 67-year-old male who had undergone surgery under general anesthesia without any problem but who presented with severe intraoperative anaphylaxis to latex surgical gloves. This case emphasizes the need for anesthesiologists to quickly diagnose and properly manage an allergic reaction in patients under general anesthesia.

摘要

过敏反应是一种对过敏原的急性和致命的全身性过敏反应,在麻醉期间可能是一种不可预测且危及生命的原因。乳胶是全身麻醉或手术中使用神经肌肉阻滞剂后仅次于使用神经肌肉阻滞剂的第二大常见过敏反应原因。我们报告了一例 67 岁男性,他在全身麻醉下接受手术,没有任何问题,但在使用乳胶手术手套时出现严重的术中过敏反应。该病例强调了麻醉师需要快速诊断并妥善处理全身麻醉下患者的过敏反应。

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Latex allergy: diagnosis and management.乳胶过敏:诊断与管理
Dermatol Ther. 2004;17(4):289-301. doi: 10.1111/j.1396-0296.2004.04024.x.
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Allergic reactions occurring during anaesthesia.麻醉期间发生的过敏反应。
Eur J Anaesthesiol. 2002 Apr;19(4):240-62. doi: 10.1017/s0265021502000418.
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Allergic emergencies seen in surgical suites.手术室中出现的过敏性急症。
Clin Rev Allergy Immunol. 1999 Winter;17(4):459-67. doi: 10.1007/BF02737650.
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