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本文引用的文献

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allergy (A comprehensive review).过敏(全面综述)
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Is sugammadex superior to neostigmine in reversing rocuronium-induced neuromuscular blockade?在逆转罗库溴铵诱导的神经肌肉阻滞方面,舒更葡糖钠是否优于新斯的明?
J Clin Anesth. 2022 Aug;79:110288. doi: 10.1016/j.jclinane.2021.110288. Epub 2021 Apr 17.
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Serious bronchospasm induced by cisatracurium besylate: A case report.顺苯磺酸阿曲库铵致严重支气管痉挛 1 例报告。
Medicine (Baltimore). 2021 Apr 16;100(15):e25516. doi: 10.1097/MD.0000000000025516.
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Prediction of adverse drug reactions using drug convolutional neural networks.利用药物卷积神经网络预测药物不良反应。
J Bioinform Comput Biol. 2021 Feb;19(1):2050046. doi: 10.1142/S0219720020500468. Epub 2021 Jan 20.
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Perioperative anaphylaxis: A five-year review in a tertiary paediatric hospital.围手术期过敏反应:一家三级儿科医院的五年回顾。
Anaesth Intensive Care. 2021 Jan;49(1):44-51. doi: 10.1177/0310057X20964470. Epub 2021 Jan 20.
6
Anaphylaxis after injecting a hemostatic agent containing gelatin into vertebral bone under pressure-a warning.压力下往椎骨注射含明胶止血剂后出现过敏反应——警告。
Spine Deform. 2021 Jul;9(4):1191-1196. doi: 10.1007/s43390-020-00273-4. Epub 2021 Jan 18.
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Relationship of perioperative anaphylaxis to neuromuscular blocking agents, obesity, and pholcodine consumption: a case-control study.围手术期过敏反应与神经肌肉阻滞剂、肥胖和福可定消耗的关系:病例对照研究。
Br J Anaesth. 2021 May;126(5):940-948. doi: 10.1016/j.bja.2020.12.018. Epub 2021 Jan 14.
8
Perioperative hypersensitivity reactions during childhood and outcomes of subsequent anesthesia.儿童围术期过敏反应与后续麻醉结局。
Paediatr Anaesth. 2021 Apr;31(4):436-443. doi: 10.1111/pan.14126. Epub 2021 Feb 11.
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Drug-induced anaphylaxis during general anesthesia in 14 tertiary hospitals in Japan: a retrospective, multicenter, observational study.日本 14 所三级医院全麻期间药物诱发过敏反应的回顾性多中心观察性研究。
J Anesth. 2021 Feb;35(1):154-160. doi: 10.1007/s00540-020-02886-5. Epub 2021 Jan 9.
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A 2-year-old girl with periprocedural anaphylaxis.一名患有围手术期过敏反应的2岁女童。
Allergy Asthma Proc. 2021 Jan 23;42(1):97-99. doi: 10.2500/aap.2021.42.200031.

人工智能能否预防术中过敏反应?文献回顾与概念验证。

Could Artificial Intelligence Prevent Intraoperative Anaphylaxis? Reference Review and Proof of Concept.

机构信息

Department of ENT, 'Carol Davila' University of Medicine and Pharmacy, 050751 Bucharest, Romania.

Victoria Ambulatory Department, 'Sfânta Maria' Clinics and Laboratories, 011013 Bucharest, Romania.

出版信息

Medicina (Kaunas). 2022 Oct 26;58(11):1530. doi: 10.3390/medicina58111530.

DOI:10.3390/medicina58111530
PMID:36363487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9694532/
Abstract

Drugs and various medical substances have been used for many decades to diagnose or treat diseases. Procedures like surgery and anesthesia (either local or general) use different pharmacological products during these events. In most of the cases, the procedure is safe and the physician performs the technique without incidents. Although they are safe for use, these substances (including drugs) may have adverse effects, varying from mild ones to life-threatening reactions in a minority of patients. Artificial intelligence may be a useful tool in approximating the risk of anaphylaxis before undertaking a medical procedure. This material presents these undesirable responses produced by medical products from a multidisciplinary point of view. Moreover, we present a proof of concept for using artificial intelligence as a possible guardship against intraoperative anaphylaxis.

摘要

几十年来,药物和各种医疗物质一直被用于诊断或治疗疾病。在这些过程中,手术和麻醉(局部或全身)等程序会使用不同的药理学产品。在大多数情况下,该程序是安全的,并且医生在没有事故的情况下进行该技术。尽管这些物质(包括药物)可安全使用,但它们可能会对少数患者产生不良反应,从轻微反应到危及生命的反应不等。人工智能可能是在进行医疗程序之前估算过敏反应风险的有用工具。本材料从多学科角度介绍了医疗产品产生的这些不良反应。此外,我们还提出了一个使用人工智能作为术中过敏反应可能的防护措施的概念验证。