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对阿曲库铵的类过敏反应。

Anaphylactoid reaction to atracurium.

作者信息

Tetzlaff J E, Gellman M D

出版信息

Can Anaesth Soc J. 1986 Sep;33(5):647-50. doi: 10.1007/BF03014271.

DOI:10.1007/BF03014271
PMID:3768768
Abstract

Atracurium is a new intermediate-acting muscle relaxant, relatively devoid of cardiovascular effect in the clinical dose range. Histamine release is reported in a dose-dependent fashion, but below the threshold for haemodynamic effect within the recommended dose limits. We report a case of an anaphylactoid reaction to a low dose (0.2 mg X kg-1) of atracurium, and discuss the peculiar aspects of this case that predisposed the patient to this event.

摘要

阿曲库铵是一种新型中效肌肉松弛剂,在临床剂量范围内相对无心血管效应。有报道称其组胺释放呈剂量依赖性,但在推荐剂量范围内低于血流动力学效应阈值。我们报告一例对低剂量(0.2mg·kg⁻¹)阿曲库铵发生类过敏反应的病例,并讨论该病例中使患者易发生此事件的特殊方面。

相似文献

1
Anaphylactoid reaction to atracurium.对阿曲库铵的类过敏反应。
Can Anaesth Soc J. 1986 Sep;33(5):647-50. doi: 10.1007/BF03014271.
2
Anaphylactoid reactions after cisatracurium administration in six patients.六例患者使用顺式阿曲库铵后发生类过敏反应。
Anesth Analg. 2001 Nov;93(5):1257-9, table of contents. doi: 10.1097/00000539-200111000-00043.
3
[Atracurium-induced anaphylactoid shock during anesthesia].麻醉期间阿曲库铵诱发类过敏性休克
Ma Zui Xue Za Zhi. 1992 Jun;30(2):131-5.
4
[Lethal anaphylactoid reaction following atracurium (Tracrium)].阿曲库铵(卡肌宁)致致死性类过敏反应
Ugeskr Laeger. 1987 Oct 26;149(44):2983-4.
5
Eyelid anaphylactic reaction to atracurium with general anesthesia.全身麻醉下阿曲库铵引起的眼睑过敏反应。
J Ocul Pharmacol. 1986 Fall;2(4):379-83. doi: 10.1089/jop.1986.2.379.
6
Anaphylactoid reactions following propofol-atracurium sequence.丙泊酚-阿曲库铵序贯给药后的类过敏反应。
Can J Anaesth. 1990 Nov;37(8):946-7. doi: 10.1007/BF03006647.
7
[Anaphylaxis by atracurium. One case report].[阿曲库铵所致过敏反应。一例报告]
Rev Alerg Mex. 2013 Apr-Jun;60(2):78-81.
8
Severe anaphylactic shock after atracurium.
Anesth Analg. 1993 Feb;76(2):423-5.
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[The histaminic and anaphylactic risks of atracurium].阿曲库铵的组胺释放及过敏风险
Ann Fr Anesth Reanim. 1985;4(6):495-9. doi: 10.1016/s0750-7658(85)80248-3.
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本文引用的文献

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Adverse effects of intravenously administered drugs used in anaesthetic practice.麻醉实践中静脉注射药物的不良反应。
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Haemodynamic effects of atracurium during enflurane-nitrous oxide anaesthesia.安氟醚-氧化亚氮麻醉期间阿曲库铵的血流动力学效应
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Haemodynamic effects of bolus injections of atracurium in patients with coronary artery disease.冠状动脉疾病患者单次注射阿曲库铵的血流动力学效应
Br J Anaesth. 1983;55 Suppl 1:131S-134S.
4
Systemic vascular responses to atracurium during enflurane-nitrous-oxide anesthesia in humans.人体在安氟醚 - 笑气麻醉期间对阿曲库铵的全身血管反应。
Anesthesiology. 1983 Mar;58(3):242-4. doi: 10.1097/00000542-198303000-00007.
5
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.
6
Atracurium in normal doses may release histamine.正常剂量的阿曲库铵可能会释放组胺。
Anesthesiology. 1984 Apr;60(4):386. doi: 10.1097/00000542-198404000-00025.
7
Histamine-releasing potencies of atracurium, dimethyl tubocurarine and tubocurarine.阿曲库铵、二甲筒箭毒碱和筒箭毒碱的组胺释放效能。
Br J Anaesth. 1983;55 Suppl 1:105S-106S.
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Life-threatening anaphylactoid reactions to muscle relaxants.对肌肉松弛剂的危及生命的类过敏反应。
Anesth Analg. 1983 Jun;62(6):559-64.
9
Role of histamine in the hypotensive action of d-tubocurarine in humans.组胺在筒箭毒碱对人体的降压作用中的作用。
Anesthesiology. 1981 Jul;55(1):19-25. doi: 10.1097/00000542-198107000-00006.
10
The cardiovascular effects of vecuronium (ORG NC45) and pancuronium in patients undergoing coronary artery bypass grafting.维库溴铵(ORG NC45)和泮库溴铵对冠状动脉搭桥手术患者的心血管影响。
Anesthesiology. 1983 May;58(5):438-40. doi: 10.1097/00000542-198305000-00008.