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药物过敏及其对牙科诊疗的影响。

Drug allergies and implications for dental practice.

作者信息

Becker Daniel E

机构信息

Associate Director of Education, General Dental Practice Residency, Miami Valley Hospital, Dayton, Ohio.

出版信息

Anesth Prog. 2013 Winter;60(4):188-97. doi: 10.2344/0003-3006-60.4.188.

Abstract

Adverse reactions to medications prescribed or administered in dental practice can be worrying. Most of these reactions are somewhat predictable based on the pharmacodynamic properties of the drug. Others, such as allergic and pseudoallergic reactions, are generally unpredictable and unrelated to normal drug action. This article will review immune and nonimmune-mediated mechanisms that account for allergic and related reactions to the particular drug classes commonly used in dentistry. The appropriate management of these reactions will also be addressed.

摘要

牙科诊疗中开具或使用的药物发生不良反应可能令人担忧。基于药物的药效学特性,这些反应大多在一定程度上是可预测的。其他反应,如过敏反应和类过敏反应,通常不可预测且与正常药物作用无关。本文将综述免疫介导和非免疫介导的机制,这些机制导致了牙科常用特定药物类别的过敏及相关反应。还将讨论这些反应的适当处理方法。

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