临床药师参与1例宫腔镜术中过敏性休克的多学科会诊实践
Clinical pharmacists participated in multidisciplinary consultations for one case of anaphylactic shock dur-ing hysteroscopy
蔡瑞 1李静静 2程琛 3唐莲 2侯顺玉 3周琴2
作者信息
- 1. 南京医科大学附属苏州医院,苏州市立医院国家临床药师培训基地,江苏苏州 215002;南京医科大学,常州医学中心,常州市妇幼保健院药学部,江苏常州 213000
- 2. 南京医科大学附属苏州医院,苏州市立医院国家临床药师培训基地,江苏苏州 215002;南京医科大学附属苏州医院,苏州市立医院药学部,江苏苏州 215002
- 3. 南京医科大学附属苏州医院,苏州市立医院妇科,江苏苏州 215002
- 折叠
摘要
药源性过敏性休克是一种严重的药物过敏反应,由于围术期用药复杂,临床医生应警惕药源性过敏性休克的发生.该文报道了 1例宫腔镜术中突发过敏性休克的病例分析及处理过程.临床药师参加多学科会诊,追溯病史,结合临床多学科讨论结果,分析该患者发生休克的原因,评价该患者所用药物与发生过敏性休克的关联性,判断过敏原可能为罗哌卡因或羟乙基淀粉,同时为术后如何确定过敏原以及快速判断术中休克原因给出会诊建议,充分体现了临床药师会诊在突发围术期过敏性休克时识别病因、判断致敏药物及治疗方案制定中的重要性.
Abstract
Pharmacogenetic anaphylactic shock is a serious drug-allergic reaction.And clinicians should stay on a high alert to the occurrence of pharmacogenetic anaphylactic shock due to a great complexity of perioperative medications.Here the authors described the case analysis and management process of one case of sudden anaphylactic shock during hysteroscopy.Clinical phar-macists participated in multidisciplinary consultations,traced the medical history and analyzed the results of clinical multidisci-plinary discussion to explore the cause of shock,examine the association between medications and the occurrence of anaphylactic shock.The potential allergens might be ropivacaine or hydroxyethyl starch.Consultation recommendations were offered on how to identify the allergens postoperatively and quickly determine the cause of intraoperative shock.Clinical pharmacists played vital roles of identifying the etiology,determining the sensitizing drug and formulating treatment protocols for sudden perioperative ana-phylactic shock.
关键词
临床药师/过敏性休克/罗哌卡因/羟乙基淀粉/多学科会诊Key words
clinical pharmacist/anaphylactic shock/ropivacaine/hydroxyethyl starch/multidisciplinary consultation引用本文复制引用
基金项目
常州市卫生健康青苗人才培养工程资助(CZQM2023023)
出版年
2024
NETL
NSTL
万方数据