Gossman D E, Schneider F
Section of Cardiology, Lahey Hitchcock Clinic, Burlington, MA 01805, USA.
Cathet Cardiovasc Diagn. 1996 May;38(1):56-61. doi: 10.1002/(SICI)1097-0304(199605)38:1<56::AID-CCD12>3.0.CO;2-Q.
A case of dextran induced adult respiratory distress syndrome is used to illustrate the most serious complication of dextran usage during intracoronary stent placement. This reaction occurred despite premedication with the hapten dextran 1. Mechanisms of dextran induced complications are discussed. A mechanism for hapten resistant dextran reactions is postulated. Suggestions to prevent such reactions are made.
一例右旋糖酐诱导的成人呼吸窘迫综合征用于说明冠状动脉内支架置入术中使用右旋糖酐最严重的并发症。尽管使用半抗原右旋糖酐1进行了预处理，但仍发生了这种反应。讨论了右旋糖酐诱导并发症的机制。推测了对半抗原耐药的右旋糖酐反应的机制。提出了预防此类反应的建议。
