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在对麻醉中使用的静脉药物发生严重组胺反应后进行皮内试验。

Intradermal testing after severe histamine reactions to intravenous drugs used in anaesthesia.

作者信息

Fisher M M

出版信息

Anaesth Intensive Care. 1976 May;4(2):97-104. doi: 10.1177/0310057X7600400202.

DOI:10.1177/0310057X7600400202
PMID:937730
Abstract

In a series of patients who suffered severe histamine mediated reactions to induction agents and muscle relaxants, intradermal testing enabled the drug involved to be distinguished. The correct use of intradermal testing to give reliable results is discussed and a protocol described. Prausnitz Kustner testing was of little help in confirming the results. A number of patients tested showed high levels of immunoglobulin G (IgG) and it is believed that IgG mediated anaphylaxis may be the mechanism responsible for reactions that have been previously described as anaphylactoid or direct chemical histamine release.

摘要

在一系列对诱导剂和肌肉松弛剂发生严重组胺介导反应的患者中,皮内试验能够区分出所涉及的药物。本文讨论了正确使用皮内试验以获得可靠结果的方法,并描述了一个方案。普劳斯尼茨-屈斯特纳试验在证实结果方面帮助不大。一些接受检测的患者显示出高水平的免疫球蛋白G(IgG),据信IgG介导的过敏反应可能是先前被描述为类过敏反应或直接化学组胺释放的反应的发病机制。

相似文献

1
Intradermal testing after severe histamine reactions to intravenous drugs used in anaesthesia.在对麻醉中使用的静脉药物发生严重组胺反应后进行皮内试验。
Anaesth Intensive Care. 1976 May;4(2):97-104. doi: 10.1177/0310057X7600400202.
2
Severe histamine mediated reactions to intravenous drugs used in anaesthesia.对麻醉中使用的静脉药物的严重组胺介导反应。
Anaesth Intensive Care. 1975 Aug;3(3):180-97. doi: 10.1177/0310057X7500300303.
3
Intradermal testing and anaphylactoid reactions. The limitations of their use in the investigation of reactions to intravenous anaesthetics.皮内试验与类过敏反应。它们在静脉麻醉药反应调查中应用的局限性。
Anaesthesia. 1985 Jun;40(6):549-51.
4
Intradermal drug testing following anaphylactoid reactions during anaesthesia.麻醉期间类过敏反应后的皮内药物试验。
Anaesth Intensive Care. 1981 Nov;9(4):381-6. doi: 10.1177/0310057X8100900411.
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Anaphylactic and anaphylactoid reactions to intravenous anesthetic agents.静脉麻醉剂引起的过敏反应和类过敏反应。
Middle East J Anaesthesiol. 1980 Jun;5(7):471-80.
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Anaphylactoid reactions during anaesthesia. Seven years' experience of intradermal testing.
Anaesthesia. 1985 Apr;40(4):329-33.
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Sensitivity testing for althesin.阿耳噻辛的敏感性测试。
Anaesthesia. 1978 Jul-Aug;33(7):644-5. doi: 10.1111/j.1365-2044.1978.tb08442.x.
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Adverse reactions to intravenous agents in anaesthesia in France.法国麻醉中静脉用药的不良反应。
Klin Wochenschr. 1982 Sep 1;60(17):1006-9. doi: 10.1007/BF01716963.

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Allergic and other adverse reactions to drugs used in anesthesia and surgery.麻醉和手术中使用的药物引起的过敏及其他不良反应。
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Case Report: Mast cell anergy: absence of symptoms after accidental re-exposure to amoxicillin/clavulanic acid 3 days after anaphylaxis.病例报告:肥大细胞无反应性:过敏反应3天后意外再次接触阿莫西林/克拉维酸后无症状。
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3
Immunological and non-immunological mechanisms involved in adverse reactions to drugs.
药物不良反应涉及的免疫和非免疫机制。
Klin Wochenschr. 1982 Sep 1;60(17):958-64. doi: 10.1007/BF01716955.
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Adverse effects of intravenously administered drugs used in anaesthetic practice.麻醉实践中静脉注射药物的不良反应。
Drugs. 1981 Jul;22(1):26-41. doi: 10.2165/00003495-198122010-00002.
5
[An unusual anaphylactic reaction following succinylcholine chloride in a 21-month-old child].
Can J Anaesth. 1990 Sep;37(6):675-7. doi: 10.1007/BF03006489.
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Allergy to muscle relaxants.对肌肉松弛剂过敏。
Clin Rev Allergy. 1991 Fall-Winter;9(3-4):281-93. doi: 10.1007/BF02802308.