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静脉麻醉药敏感性:三例报告

Sensitivity to intravenous anaesthetics: a report of three cases.

作者信息

Dundee J W, Assem E S, Gaston J M, Keilty S R, Sutton J A, Clarke R S, Grainger D

出版信息

Br Med J. 1974 Jan 12;1(5897):63-5. doi: 10.1136/bmj.1.5897.63.

Abstract

Three patients with sensitivity to an intravenous anaesthetic-thiopentone, propanidid, and Althesin (alphadolone and alphaxalone)-are described. In the cases of thiopentone and Althesin the reaction was characterized by cardiovascular collapse, while bronchospasm also occurred with thiopentone. The reaction to propanidid was a direct skin sensitivity. All patients had a personal or family history of asthma and all had been previously exposed to the offending drug. A leucocyte challenge test showed an allergic response to thiopentone and Althesin in two patients but gave a negative result in the patient with the skin reaction. Allergic reactions can occur to all types of intravenous anaesthetics in a few patients.

摘要

本文描述了三名对静脉麻醉药硫喷妥钠、丙泮尼地和阿尔忒辛(阿法多龙和阿法沙龙)敏感的患者。在硫喷妥钠和阿尔忒辛的病例中,反应的特征是心血管虚脱,而硫喷妥钠还会引发支气管痉挛。对丙泮尼地的反应是直接的皮肤过敏。所有患者都有个人或家族哮喘病史,且之前均接触过引发过敏的药物。白细胞激发试验显示,两名患者对硫喷妥钠和阿尔忒辛有过敏反应,但皮肤过敏反应的患者试验结果为阴性。少数患者可能会对所有类型的静脉麻醉药发生过敏反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8487/1632895/23f79a0add34/brmedj02170-0026-a.jpg

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