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[麻醉学中的乳胶过敏]

[Latex allergy in anesthesiology].

作者信息

Ortiz J R, García J, Archilla J, Criado A

机构信息

Servicio de Anestesiología y Reanimación, Ciudad Sanitaria La Paz, Madrid.

出版信息

Rev Esp Anestesiol Reanim. 1995 May;42(5):169-74.

PMID:7792415
Abstract

Allergy to latex, described 15 years ago, is increasing. It affects mainly certain risk groups, such as health-care workers and patients with spina bifida or genitourinary malformations. Symptoms vary in intensity from mild to life-threatening and can present during any medical procedure involving skin or mucosal contact, or inhalation, of the allergen in a previously sensitized patient. The most serious cases reported have generally involved patients undergoing surgery. Prevention is based mainly on tentative diagnosis made when the patient's history is taken, followed by laboratory tests and consultation with an allergist. Because prophylactic drug protocols have proven ineffective, the patient must be offered a latex-free environment in keeping with standard recommendations.

摘要

15年前被发现的乳胶过敏现象正在增多。它主要影响某些高危群体,如医护人员以及患有脊柱裂或泌尿生殖系统畸形的患者。症状严重程度不一,从轻微到危及生命,在任何涉及皮肤或黏膜接触、或吸入过敏原的医疗程序中,先前已致敏的患者都可能出现症状。报告的最严重病例通常涉及接受手术的患者。预防主要基于在了解患者病史时做出的初步诊断,随后进行实验室检查并咨询过敏症专科医生。由于预防性药物方案已被证明无效,必须按照标准建议为患者提供无乳胶环境。

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