Hassoun S, Sabbah A, Drouet M, Cottineau C
Laboratoire d'immuno-Allergologie-CHU, Angers.
Allerg Immunol (Paris). 1998 Jun;30(6):180-2.
The allergic history to anaesthetics in general and especially to synthetic myorelaxants, poses few etiological diagnostic problems in practice, because of on one hand the excellent collaboration between Anesthetists and Allergologists in the CHU at Angers and on the other because of the great sensitivity of skin testing. Why then have a predictive history for myorelaxants? The results of a study at the CHU at Angers on 15 patients showed sensitivity to anaesthetics in general (myorelaxants 86%, Diprivan) and/or an antibiotic, latex were very encouraging. One 15 new general anaesthetics a single minor incident was seen: the 15 patients had benefited from a predictive history.
一般而言,尤其是对于合成肌松药的麻醉过敏史,在实践中几乎不存在病因诊断问题,一方面是因为昂热大学医疗中心麻醉科医生与过敏科医生之间有着出色的合作,另一方面是因为皮肤试验的高敏感性。那么,为什么还要有肌松药的预测性病史呢?昂热大学医疗中心对15名患者的一项研究结果显示,对一般麻醉药(肌松药86%,丙泊酚)和/或一种抗生素、乳胶过敏的情况非常令人鼓舞。在15例新的全身麻醉中,仅出现了1例轻微事件:这15名患者受益于预测性病史。