Inoue Hiromichi, Okazaki Toshimasa, Minowa Muneo, Oyaizu Takeshi, Matsumura Yuji
Department of Thoracic Surgery, Ohta General Hospital Ohta Nishinouchi Hospital, Koriyama, Japan.
Kyobu Geka. 2019 Aug;72(8):605-608.
We report here our experience with a case of anaphylactic shock caused by fibrin glue. A 51-year-old male underwent a thoracoscopic surgery for refractory pneumothorax under local anesthesia. Bullae were revealed, and subsequently covered with fibrin glue and a polyglycolic acid sheet. Twenty-minutes after application of the fibrin glue, sudden drop of blood pressure less than 80 mmHg and a skin rash appeared. Since the patient was not administered any other drugs prior to the reduction in blood pressure, anaphylactic shock was considered to be caused by fibrin glue. The patient recovered after the treatment by dopamine and steroid.
我们在此报告一例由纤维蛋白胶引起的过敏性休克病例。一名51岁男性在局部麻醉下接受了胸腔镜手术治疗难治性气胸。术中发现了肺大疱，随后用纤维蛋白胶和聚乙醇酸片覆盖。应用纤维蛋白胶20分钟后，患者血压突然降至80mmHg以下，并出现皮疹。由于在血压下降之前未给患者使用任何其他药物，故考虑过敏性休克是由纤维蛋白胶引起的。经多巴胺和类固醇治疗后，患者康复。
