Westacott P, Ramachandran P R, Jancelewicz Z
Can Anaesth Soc J. 1984 Jul;31(4):434-8. doi: 10.1007/BF03015420.
A 32-year-old female was admitted for a minor elective surgical procedure. Her past history included at least six uneventful general anaesthetics. Anaphylaxis developed shortly following induction of anaesthesia with thiopentone, Innovar and gallamine. Resuscitation was successful but was complicated by ventricular fibrillation. Full recovery followed. Subsequent allergy skin tests revealed hypersensitivity to thiopentone. Recommendations for investigation of suspected hypersensitivity to anaesthetic agents are included, as are guidelines for the recognition and treatment of anaphylaxis.
一名32岁女性因一项小型择期外科手术入院。她既往史中至少有六次顺利的全身麻醉经历。在使用硫喷妥钠、氟哌利多和加拉明诱导麻醉后不久发生了过敏反应。复苏成功,但并发了室颤。随后完全康复。后续的过敏皮肤试验显示对硫喷妥钠过敏。文中包含了对疑似麻醉剂过敏进行调查的建议,以及过敏反应的识别和治疗指南。