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[麻醉期间输注胶体容量替代物后的不相容反应]

[Incompatibility reactions following the infusion of colloidal volume substitutes during anesthesia].

作者信息

Godenschweger I, Arlt E, Arlt B

出版信息

Fortschr Med. 1978 Feb 2;96(5):227-30.

PMID:620986
Abstract

A case of incompatibility reaction after Macrodex infusion during anesthesia is reported. The possibility of activating the so-called "alternative pathway" by dextran is shown. The early recognition of this reason for incompatibilities may help to prevent the development of severe, possibly fatal forms of dextran incompatibility. Strict observation of the patient during, especially at the beginning of the infusion and an exact recognition of the symptoms are necessary if dextran infusions are applied.

摘要

报告了一例麻醉期间输注右旋糖酐后发生的不相容反应病例。显示了右旋糖酐激活所谓“替代途径”的可能性。早期识别这种不相容性的原因可能有助于预防严重的、可能致命的右旋糖酐不相容形式的发生。如果应用右旋糖酐输注,在输注期间,尤其是输注开始时对患者进行严格观察并准确识别症状是必要的。

相似文献

1
[Incompatibility reactions following the infusion of colloidal volume substitutes during anesthesia].[麻醉期间输注胶体容量替代物后的不相容反应]
Fortschr Med. 1978 Feb 2;96(5):227-30.
2
[On a case of incompatibility to dextran during general anesthesia].[关于一例全身麻醉期间对右旋糖酐不相容的病例]
Acta Anaesthesiol. 1965 Jul-Aug;16(4):555-63.
3
Anaphylactoid reaction to dextran---a report of 133 cases.
Acta Anaesthesiol Scand. 1977;21(3):161-7. doi: 10.1111/j.1399-6576.1977.tb01205.x.
4
[Severe anaphylactic shock after dextran infusion during anesthesia].[麻醉期间输注右旋糖酐后发生严重过敏性休克]
Vestn Khir Im I I Grek. 1978 Mar;120(3):130.
5
[Heart arrest during dextran infusion despite hapten blockade].[尽管进行了半抗原阻断,但在输注右旋糖酐期间仍发生心脏骤停]
Anasth Intensivther Notfallmed. 1984 Feb;19(1):34-8.
6
[Anaphylaxis after dextran 40 infusion: report of a case and review of the literature].
Rev Hosp Clin Fac Med Sao Paulo. 1993 Jul-Aug;48(4):167-9.
7
Human granulocyte function during dextran infusion.
Acta Chir Scand Suppl. 1979;489:279-86.
8
Adverse reactions to dextran in Sweden 1970-1979.
Acta Chir Scand. 1983;149(3):253-62.
9
[The problem of dextran intolerance and its specific prevention with hapten inhibition. A part of the history of applied immunology].[右旋糖酐不耐受问题及其通过半抗原抑制进行的特异性预防。应用免疫学历史的一部分]
Fortschr Med. 1982 Nov 4;100(41):1917-21.
10
[Effects of colloidal dextran infusion (macrodex)].[胶体右旋糖酐输注(中分子右旋糖酐)的效果]
Dtsch Med Wochenschr. 1951 Aug 17;76(33-34):1023-7. doi: 10.1055/s-0028-1117380.

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1
Incidence and classification of adverse reactions to plasma substitutes.血浆代用品不良反应的发生率及分类
Klin Wochenschr. 1982 Sep 1;60(17):997-1002. doi: 10.1007/BF01716961.