Seskin L
J Am Dent Assoc. 1978 May;96(5):841-3. doi: 10.14219/jada.archive.1978.0184.
During a routine dental appointment, a patient had an anaphylactic reaction to an injection of a local anesthetic, mepivacaine HCl 3% without a vasoconstrictor. Immediate medical treatment alleviated the symptoms and prevented a more profound collapse. The patient may have been sensitized during emergency treatment at a hospital at which time a local anesthetic was probably administered. Keeping life-saving drugs on hand will help in the immediate treatment of patients undergoing anaphylactic shock, but taking an accurate medical history will provide a clue to a patient's previous exposure and reaction to drugs, thereby preventing a medical emergency.
在一次常规牙科就诊期间，一名患者对注射不含血管收缩剂的3%盐酸甲哌卡因这种局部麻醉剂发生了过敏反应。立即进行的医疗救治缓解了症状，防止了病情进一步恶化。该患者可能在一家医院接受急诊治疗期间被致敏，当时很可能使用了局部麻醉剂。手头备有救命药物将有助于对过敏性休克患者进行即时治疗，但准确记录病史将为患者既往接触药物及药物反应提供线索，从而预防医疗紧急情况的发生。
