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输注改良明胶诱发的类过敏性休克。6例(作者译)

[Anaphylactoid shocks induced by infusion of a modified gelatin. Six cases (author's transl)].

作者信息

Blanloeil Y, Baron D, Pinaud M, Desjars P, Nicolas F

出版信息

Anesth Analg (Paris). 1981;38(5-6):275-80.

PMID:7270944
Abstract

One of these shocks occurred in course of a rapid infusion in a patient in whom catheters were previously inserted. So, an hemodynamic study was possible. This study shows a peripheral vasodilatation leading to a decrease of preload and cardiac output, and finally to a systemic hypotension which generally raises the alarm. These cases are the first anaphylactoid shocks reported after an infusion of modified gelatin. They demonstrate the general risk of anaphylactoid shock with all types of colloids.

摘要

其中一次休克发生在一名先前已插入导管的患者快速输液过程中。因此,进行了血流动力学研究。该研究显示外周血管扩张导致前负荷和心输出量降低,最终导致全身性低血压,这通常会拉响警报。这些病例是输注改良明胶后首次报告的类过敏休克。它们证明了所有类型胶体都存在类过敏休克的一般风险。

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