Opstrup Morten Schjørring, Garvey Lene Heise
Department of Dermatology, Zealand University Hospital, Roskilde, Denmark.
Danish Anaesthesia Allergy Centre, Allergy Clinic, Department of Dermatology and Allergy, Copenhagen University Hospital Gentofte, Gentofte, Denmark.
Turk J Anaesthesiol Reanim. 2019 Aug;47(4):342-344. doi: 10.5152/TJAR.2019.22058. Epub 2019 Mar 12.
Chlorhexidine can cause severe immediate-type allergic reactions such as urticaria, anaphylactic shock or, even, cardiac arrest. We report the case of a patient who developed perioperative anaphylactic shock caused by chlorhexidine 1 year after a postoperative urticarial reaction, which was assumed not to be significant at the time. This case highlights the importance of identifying mild allergy symptoms after exposure to chlorhexidine at the pre-anaesthetic assessment to prevent more severe allergic reactions in future.
洗必泰可引起严重的速发型过敏反应，如荨麻疹、过敏性休克，甚至心脏骤停。我们报告一例患者，该患者在术后出现荨麻疹反应1年后，在围手术期发生了由洗必泰引起的过敏性休克，当时认为该荨麻疹反应不严重。该病例强调了在麻醉前评估时识别接触洗必泰后出现的轻度过敏症状的重要性，以防止未来发生更严重的过敏反应。
