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[两例使用舒更葡糖钠后发生类过敏反应的病例]

[Two cases of anaphylactoid reaction after administration of sugammadex].

作者信息

Ohshita Naohiro, Tsutsumi Yasuo M, Kasai Asuka, Soga Tomohiro, Kanamura Tomomi, Katayama Toshiko, Iseki Akio, Tomiyama Yoshinobu, Tanaka Katsuya

机构信息

Department of Anesthesiology, Tokushima University Hospital, Tokushima 770-8503.

出版信息

Masui. 2012 Nov;61(11):1261-4.

PMID:23236935
Abstract

Anaphylaxis during anesthesia is a rare but life-threatening event. Sugammadex is a recently introduced drug that was specifically designed for the reversal of rocuroium and vecuronium-induced neuromuscular block. We describe the cases of a 74-year-old man and a 29-year-old man who developed an anaphylactoid reaction to sugammadex, presenting with cardiovascular collapse. Initial management consisted of fluid administration and intermittent i.v. ephedrine, epinephrine, and hydrocortisone. The patients made uncomplicated recovery and were discharged.

摘要

麻醉期间发生过敏反应是一种罕见但危及生命的事件。舒更葡糖钠是一种最近引入的药物,专门设计用于逆转罗库溴铵和维库溴铵引起的神经肌肉阻滞。我们描述了一名74岁男性和一名29岁男性对舒更葡糖钠发生类过敏反应并出现心血管虚脱的病例。初始治疗包括补液以及间歇性静脉注射麻黄碱、肾上腺素和氢化可的松。患者恢复顺利并出院。

相似文献

1
[Two cases of anaphylactoid reaction after administration of sugammadex].[两例使用舒更葡糖钠后发生类过敏反应的病例]
Masui. 2012 Nov;61(11):1261-4.
2
Sugammadex and rocuronium-induced anaphylaxis.舒更葡糖钠与罗库溴铵诱发的过敏反应。
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A randomized, dose-response study of sugammadex given for the reversal of deep rocuronium- or vecuronium-induced neuromuscular blockade under sevoflurane anesthesia.一项在七氟醚麻醉下给予 sugammadex 逆转深度罗库溴铵或维库溴铵诱发的神经肌肉阻滞的随机、剂量反应研究。
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[Case of anaphylactic reaction caused by sugammadex].[舒更葡糖钠引起的过敏反应病例]
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Sugammadex provides faster reversal of vecuronium-induced neuromuscular blockade compared with neostigmine: a multicenter, randomized, controlled trial.舒更葡糖钠相较于新斯的明可更快逆转维库溴铵诱导的神经肌肉阻滞作用:一项多中心、随机、对照试验。
Anesth Analg. 2010 Jan 1;110(1):64-73. doi: 10.1213/ane.0b013e3181ac53c3. Epub 2009 Aug 27.
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Allergy to low dose sugammadex.对低剂量 sugammadex 的过敏反应。
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Sugammadex hypersensitivity-a case of anaphylaxis.舒更葡糖钠超敏反应——1例过敏反应病例
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A case of anaphylaxis apparently induced by sugammadex and rocuronium in successive surgeries.一例在连续手术中明显由舒更葡糖钠和罗库溴铵诱发的过敏反应病例。
J Clin Anesth. 2016 Aug;32:30-2. doi: 10.1016/j.jclinane.2015.11.004. Epub 2016 Mar 22.
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Reversal of rocuronium-induced neuromuscular block with sugammadex is faster than reversal of cisatracurium-induced block with neostigmine.与新斯的明用于顺式阿曲库铵诱导的神经肌肉阻滞逆转相比,舒更葡糖用于罗库溴铵诱导的神经肌肉阻滞逆转更快。
Br J Anaesth. 2008 May;100(5):622-30. doi: 10.1093/bja/aen037. Epub 2008 Apr 2.

引用本文的文献

1
Suspected anaphylactic reaction associated with sugammadex: a case report.疑似与舒更葡糖钠相关的过敏反应:一例病例报告。
Korean J Anesthesiol. 2016 Aug;69(4):413-6. doi: 10.4097/kjae.2016.69.4.413. Epub 2016 Jul 1.