阿库氯铵和筒箭毒碱给药后哮喘患者发生严重支气管痉挛。

Severe bronchospasm in an asthmatic patient following alcuronium and D-tubocurarine.

作者信息

Yeung M L, Ng L Y, Koo A W

出版信息

Anaesth Intensive Care. 1979 Feb;7(1):62-4. doi: 10.1177/0310057X7900700111.

Abstract

An asthmatic patient developed intense bronchospasm immediately following the administration of alcuronium and d-tubocurarine in the same anaesthetic. Intradermal test was positive for both of these drugs but negative for thiopentone and suxamethonium, both of which were given prior to alcuronium. The differential diagnosis and the possible mechanism of the reaction are discussed.

摘要

一名哮喘患者在同一次麻醉中使用阿库氯铵和筒箭毒碱后立即出现强烈的支气管痉挛。这两种药物的皮内试验均呈阳性，但硫喷妥钠和琥珀胆碱的皮内试验呈阴性，这两种药物在阿库氯铵之前使用。文中讨论了该反应的鉴别诊断及可能机制。