Nicolas F, Villers D, Blanloeil Y
Crit Care Med. 1984 Feb;12(2):144-5. doi: 10.1097/00003246-198402000-00013.
A 41-yr-old man developed anaphylactic or anaphylactoid shock 9 min after infusion of a modified fluid gelatin. The hemodynamic effects of shock from its onset were studied: fall in mean arterial pressure (MAP) and systemic vascular resistance index (SVRI), increase in cardiac index (CI) and stroke index (SI). When the infusion was stopped, a few min after the onset of shock, wedge pressure (WP) fell sharply and the patient experienced cardiac arrest without previous arrhythmia or other ECG anomaly, thus demonstrating the importance of maintaining the left ventricular filling pressure at a normal level in the course of anaphylactic shock.
一名41岁男性在输注改良液体明胶9分钟后发生过敏性或类过敏性休克。研究了休克从发作开始的血流动力学效应：平均动脉压（MAP）和全身血管阻力指数（SVRI）下降，心脏指数（CI）和每搏指数（SI）增加。休克发作几分钟后停止输注时，楔压（WP）急剧下降，患者在无先前心律失常或其他心电图异常的情况下发生心脏骤停，从而证明在过敏性休克过程中将左心室充盈压维持在正常水平的重要性。
