[Anaphylactoid reaction to a non-ionic roentgen contrast medium in general anesthesia].

G Wisser, B Wangemann, J P Jantzen, W Dick
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Abstract

The occurrence of adverse reactions is decreasing since the introduction of non-ionic contrast media. Anaphylactoid reactions during general anaesthesia are rare and hitherto only documented with the administration of ionic compounds. We report an episode of hypotension, tachycardia, bronchospasm and urticaria following application of a non-ionic contrast medium (Iopamidol) during isoflurane anaesthesia. We conclude that a combinent use of anaesthesia and non-ionic contrast media does not guaranty protection from anaphylactoid reactions to iodinated radiopaque compounds.

[全麻下对非离子型造影剂的类过敏反应]。
自引入非离子造影剂以来,不良反应的发生正在减少。全麻期间的类过敏反应是罕见的,迄今为止仅记录与离子型化合物的管理。我们报告一例在异氟醚麻醉期间应用非离子造影剂(Iopamidol)后出现低血压、心动过速、支气管痉挛和荨麻疹。我们的结论是,麻醉和非离子造影剂的联合使用并不能保证对碘化不透射线化合物的类过敏反应的保护。
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