Laxenaire M C
Département d'Anesthésie-Réanimation, CHU Hôpital Central, Nancy.
Ann Fr Anesth Reanim. 1994;13(4):498-502. doi: 10.1016/s0750-7658(05)80681-1.
Propofol may be indicated in patients with a history of allergy provided some precautions are taken. At present, the only contra-indication for propofol are patients with a known allergy to muscle relaxants. Any anaphylactoid reaction has to be systematically reported (e.g. to the Drug Safety Department of Zeneca Pharma) and the patient tested according to the standard protocol, in order to further disclose the underlying mechanisms and evaluate the risk factors. Periodical analysis of notifications of adverse reactions will facilitate regular epidemiological studies and the update of the information on the drug for the anaesthetic community.
对于有过敏史的患者,若采取一些预防措施,丙泊酚可能是适用的。目前,丙泊酚唯一的禁忌证是已知对肌肉松弛剂过敏的患者。任何类过敏反应都必须系统报告(如向捷利康制药公司药物安全部报告),并根据标准方案对患者进行检测,以便进一步揭示潜在机制并评估危险因素。定期分析不良反应通报将有助于开展常规流行病学研究,并为麻醉界更新有关该药物的信息。