肌肉松弛剂引起的围手术期过敏反应:我们知道的足够吗?

Danica Z. Marković, N. Vuković, Jelena Milenković, Bojana Z. Markovic-Zivkovic, I. Budic
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引用次数: 0

摘要

围手术期由肌肉松弛剂引起的过敏反应是相对罕见的,尽管是麻醉期间严重的并发症。它可以导致严重的发病率甚至死亡。这种反应通常发生在病人插管之前或之后,即肌肉松弛剂给药后几分钟。即使是最有经验的麻醉师也可能忽略反应的开始,因为它的识别取决于症状的严重程度。没有针对肌肉松弛剂过敏反应治疗的具体指南,因此治疗仅仅基于一般指南。此外,在许多国家,没有肌肉松弛剂引起的过敏反应发生率的登记。因此,这是麻醉学实践中一个极其重要的课题,需要引起更多的重视。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perioperative anaphylaxis caused by muscle relaxants: Do we know enough?
Perioperative anaphylaxis caused by muscle relaxants represents a relatively rare, albeit a serious complication during anesthesia. It can result in serious morbidity or even mortality. This reaction usually happens before or after intubation of a patient, that is, a few minutes after muscle relaxant administration. The beginning of the reaction can be missed, even by the most experienced anesthesiologist, since its recognition depends on the severity of the symptoms. There are no guidelines specific to the therapy of muscle relaxant anaphylaxis and therefore therapy is based simply on the general guidelines. Also, in many countries, there are no registries of the incidence of anaphylaxis caused by muscle relaxants. Therefore, this is an extremely important subject for anesthesiology practice, and it requires more attention.
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