成功抢救全身麻醉下疑似头孢曲松钠致过敏性休克1例报道

Successful rescue of a patient with anaphylactic shock under general anesthesia possibly induced by Ceftriaxone Sodium

过敏性休克是临床常见的急症之一,也是临床工作的重点和难点,在医疗纠纷中占据重要比例。过敏性休克往往发生突然且程度剧烈,若不及时处理,患者可因循环及呼吸系统功能的严重障碍而迅速死亡。导致过敏性休克的过敏原有很多,主要包括抗生素、抗肿瘤药、造影剂及麻醉药等,其中抗生素占据重要组成部分。本研究报道1例可疑头孢曲松钠致过敏性休克患者的麻醉及抢救过程,通过对过敏性休克的过敏原,指南及抢救措施进行探讨分析,以期提高临床医生对该病的认识。

Anaphylactic shock is not only one of the common clinical emergencies,but also the focus and difficulty of clinical work,which accounts for an important proportion in medical disputes.Anaphylactic shock often occurs suddenly and violently.If it is not treated in time,the patient may die rapidly due to serious cardiovascular and respiratory dysfunction.There are many allergens that lead to anaphylactic shock,mainly including antibiotics,antitumor drugs,contrast agents,and anesthetics,among which antibiotics account for an important part.This study reported the anesthesia and rescue process of a patient with suspected anaphylactic shock caused by ceftriaxone sodium.The allergens,guidelines,and rescue measures of anaphylactic shock were discussed and analyzed in order to improve the clinicians’understanding of the disease.