急性类过敏反应中的容量补充

Volume replacement in acute anaphylactoid reactions.

作者信息

Fisher M M, Dicks I

出版信息

Anaesth Intensive Care. 1979 Nov;7(4):375-6. doi: 10.1177/0310057X7900700413.

Abstract

Two patients who experienced cardiovascular collapse due to anaphylactoid reactions are described. The first patient showed haemoconcentration which was rapidly restored with colloid solutions and vasoconstrictors. The second patient showed haemoconcentration in spite of massive infusion of crystalloid and repeated adrenaline; her circulatory status was restored with colloid solution. In acute anaphylactoid reactions both sympathomimetics and colloid solutions are necessary to restore circulation.

摘要

描述了两名因类过敏反应而发生心血管虚脱的患者。第一名患者出现血液浓缩，通过胶体溶液和血管收缩剂迅速恢复。第二名患者尽管大量输注晶体液并多次使用肾上腺素仍出现血液浓缩；用胶体溶液恢复了她的循环状态。在急性类过敏反应中，拟交感神经药和胶体溶液对于恢复循环都是必要的。