一名患有围手术期过敏反应的2岁女童。

A 2-year-old girl with periprocedural anaphylaxis.

作者信息

Chow Timothy G, McConnell Jennifer, Lee Min Jung

机构信息

From the Division of Allergy and Immunology, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas; and.

Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, Texas.

出版信息

Allergy Asthma Proc. 2021 Jan 23;42(1):97-99. doi: 10.2500/aap.2021.42.200031.

DOI:10.2500/aap.2021.42.200031

PMID:33404393

Abstract

Periprocedural or perioperative anaphylaxis is rare, with an estimated incidence of 1 in 10,000 to 40,000 sedation cases. During such procedures, patients are often exposed to numerous medications, such as antimicrobials, neuromuscular blocking agents, sedative and/or hypnotics, and opioids. The most commonly implicated agents include antibiotics (in the United States) and neuromuscular blocking agents (in Europe). In this article, we explore the differential diagnosis and laboratory investigation of a case of periprocedural anaphylaxis.

摘要

围手术期或围操作期过敏反应较为罕见，在每10000至40000例镇静病例中估计发生率为1例。在此类操作过程中，患者常接触多种药物，如抗菌药物、神经肌肉阻滞剂、镇静剂和/或催眠药以及阿片类药物。最常涉及的药物包括抗生素（在美国）和神经肌肉阻滞剂（在欧洲）。在本文中，我们探讨了一例围手术期过敏反应的鉴别诊断和实验室检查。