Perioperative anaphylaxis:a potential hazard to the safety of surgical patients

作     者：Yi Zou Liu-Jia-Zi Shao Fu-Shan Xue Zou Yi;Shao Liu-Jia-Zi;Xue Fu-Shan

作者机构：Department of AnesthesiologyBeijing Friendship HospitalCapital Medical UniversityBeijing 100050China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2020年第133卷第5期

页      面：609-612页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：patients involvement hazard 

摘      要：Anaphylaxis is a rare,but severe,potentially lifethreatening allergic reaction,which most commonly presents with multi-system involvements,such as cutaneous,cardiovascular,respiratory,gastrointestinal and central nervous system signs and symptoms.It can hardly be recognized when occurring in the perioperative period due to the many influencing factors,for example,the cutaneous changes concealed by sterile drapes,inability to describe their symptoms when patients are sedated or anesthetized,and the application of anesthetics leading to sympathetic blockade which presents with blood pressure decrease.All of the above reasons make the identification and immediate treatment of perioperative anaphylaxis difficult and are partially attributable to high mortality.