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父母最了解情况:在麻醉咨询期间发现一种罕见的过敏症。

Parents Know Best: Uncovering a Rare Allergy During Anesthesia Consultation.

作者信息

Thirion Charlotte, Pirson Françoise, Momeni Mona

机构信息

Department of Anesthesiology, Cliniques Universitaires Saint Luc, Bruxelles, Belgium.

Department of Pneumology, Cliniques Universitaires Saint Luc, Bruxelles, Belgium.

出版信息

Case Rep Pediatr. 2024 Dec 26;2024:4314186. doi: 10.1155/crpe/4314186. eCollection 2024.

Abstract

A 17-month-old child presented for an anesthesia consultation before planned plagiocephaly correction one week later. The medical history by the mother reported an episode of facial redness after administering atropine-based eye drops when the child was 9 months old. Based on this information, the anesthesiologist decided to postpone the surgery and conduct an allergy assessment. Skin tests performed by a pneumo-allergologist in a hospital setting were positive for atropine. Atropine, a frequently utilized drug in anesthesiology, is rarely associated with allergic reactions, particularly in pediatric patients, as evidenced by poor prior descriptions. This case report underscores the pivotal role of preoperative anesthesia consultations and the significance of attentively considering parental perspectives. Allergy testing can be fastidious in infants, and postponing surgery can be challenging, but in our case, it allowed for a safe procedure and no adverse reactions.

摘要

一名17个月大的儿童在计划一周后进行斜头畸形矫正手术前前来进行麻醉咨询。母亲提供的病史显示,孩子9个月大时,在使用含阿托品的眼药水后出现了面部发红的情况。基于此信息,麻醉医生决定推迟手术并进行过敏评估。医院的呼吸过敏科医生进行的皮肤试验显示对阿托品呈阳性反应。阿托品是麻醉学中常用的药物,很少引起过敏反应,尤其是在儿科患者中,之前相关描述较少。本病例报告强调了术前麻醉咨询的关键作用以及认真考虑家长意见的重要性。婴儿的过敏测试可能很复杂,推迟手术也具有挑战性,但在我们的案例中,这确保了手术的安全性且未出现不良反应。

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