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手术中严重过敏反应患者的特点分析

汤蕊 刁颖 陈适 孙劲旅

实用临床医药杂志Issue(16):53-55,59,4.
实用临床医药杂志Issue(16):53-55,59,4.DOI:10.7619/jcmp.201416015

手术中严重过敏反应患者的特点分析

Analysis of clinical characteristic of patients with perioperative anaphylaxis

汤蕊 1刁颖 1陈适 1孙劲旅1

作者信息

  • 1. 中国医学科学院 北京协和医学院 北京协和医院 变态反应科,北京 100730
  • 折叠

摘要

Abstract

Objective To analyze the clinical characteristics of patients with perioperative anaphylaxis,and compared with the non-operative patients.Methods We analyzed the condi-tion,age characteristic,underlying diseases,operation,cause,change of blood pressure,clinical manifestation,level of white blood cell,and prognosis of patients with anaphylaxis from 1990 retro-spectively.Results The mean age was 39±16 years old.The ratio of Male and female was 1:2.2. Dropping in systolic and diastolic blood pressure(P <0.01)and increase in heart rate(P <0.01) were notable.Compared with non-operative patients,among the perioperative patients female pa-tients were more common(P <0.01),the number of patients increased obviously after 2008,the majority underlying disease and operation were tumor(10 /14)and gynecology and obstetrics(10 /14),the common cause was antibiotics(8 /14)and anesthetic(5 /14),and the patients were prone to loss of consciousness(P <0.01).However among the non-operative patients allergic diseases(9 /28)were the majority underlying disease,the common cause was antibiotics(6 /28),contrast medi-um(4 /28)and food(4 /28),blood pressure was prone to drop to 0(9 /12),white blood cell in-creased obviously(P <0.05)and life-threatening was common(3 /28).Conclusion Compared with non-operative patients,female patients were more common,the number of patients increased obviously after 2008,the majority underlying disease and operation were tumor and gynecology and obstetrics,the common cause was antibiotics and anesthetic,and the patients were prone to loss of consciousness among the perioperative patients.

关键词

严重过敏反应/手术/临床特点

Key words

anaphylaxis/operation/clinical characteristic

分类

医药卫生

引用本文复制引用

汤蕊,刁颖,陈适,孙劲旅..手术中严重过敏反应患者的特点分析[J].实用临床医药杂志,2014,(16):53-55,59,4.

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