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Anaphylactoid reaction complicating neonatal anaesthesia.

作者信息

Pollock E M, MacLeod A D, McNicol L R

出版信息

Anaesthesia. 1986 Feb;41(2):178-80. doi: 10.1111/j.1365-2044.1986.tb13176.x.

DOI:10.1111/j.1365-2044.1986.tb13176.x
PMID:3754095
Abstract

A three-week-old girl presented for surgery for congenital pyloric stenosis. The anaesthetic technique included intravenous induction with thiopentone and neuromuscular blockade with atracurium. The administration of these drugs was followed within 2-3 minutes by oedema of the eyelids and epiglottis, reduced peripheral circulation and central cyanosis. There was no previous exposure to either drug and no definite family history of allergy. Analysis of subsequent sequential blood samples indicated that the reaction mechanism was non-immune and was presumed to be due to pharmacological release of histamine.

摘要

相似文献

1
Anaphylactoid reaction complicating neonatal anaesthesia.
Anaesthesia. 1986 Feb;41(2):178-80. doi: 10.1111/j.1365-2044.1986.tb13176.x.
2
Persistent anaphylactic reaction after induction with thiopentone and cisatracurium.硫喷妥钠和顺阿曲库铵诱导后持续性过敏反应。
Paediatr Anaesth. 2000;10(4):429-34. doi: 10.1046/j.1460-9592.2000.00527.x.
3
Histamine release and atracurium.组胺释放与阿曲库铵
Br J Anaesth. 1986;58 Suppl 1:19S-22S. doi: 10.1093/bja/58.suppl_1.19s.
4
Probable histamine liberation with atracurium. A case report.阿曲库铵可能导致组胺释放。病例报告。
Br J Anaesth. 1985 Aug;57(8):811-3. doi: 10.1093/bja/57.8.811.
5
Cutaneous sensitivity to atracurium and vecuronium in patients suffering anaphylactoid reactions to neuromuscular blockers.对神经肌肉阻滞剂发生类过敏反应的患者对阿曲库铵和维库溴铵的皮肤敏感性。
Anaesth Intensive Care. 1985 Aug;13(3):305-10. doi: 10.1177/0310057X8501300311.
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Severe histamine mediated reactions to intravenous drugs used in anaesthesia.对麻醉中使用的静脉药物的严重组胺介导反应。
Anaesth Intensive Care. 1975 Aug;3(3):180-97. doi: 10.1177/0310057X7500300303.
7
The allergic reaction to intravenous induction agents.对静脉诱导剂的过敏反应。
Br J Hosp Med. 1986 Jul;36(1):45-8.
8
Case reports: thiopentone anaphylaxis.病例报告:硫喷妥钠过敏反应。
Anaesth Intensive Care. 1972 Aug;1(1):79-80. doi: 10.1177/0310057X7200100112.
9
A severe anaphylactic reaction to atracurium.对阿曲库铵的严重过敏反应。
Anaesth Intensive Care. 1984 Aug;12(3):262-3. doi: 10.1177/0310057X8401200311.
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Correspondence: Anaphylaxis under anaesthesia.
Anaesth Intensive Care. 1973 May;1(4):332-3. doi: 10.1177/0310057X7300100415.

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Anaphylactic and anaphylactoid reactions. Clinical presentation.
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