http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
증례보고 : Hemocoagulase에 의한 것으로 추정되는 아나필락시스: 혈중 비만세포 Tryptase 증가에 의한 확인 -증례보고-
이숙영 ( Sook Young Lee ),박관식 ( Kwan Sik Park ),조외경 ( Oi Gyeong Cho ),김의석 ( Yeui Seok Kim ),정원호 ( Won Ho Jeong ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.1
Multiple agents can cause anaphylaxis in a perioperative setting. Identifying the agent responsible is essential for avoiding future adverse reactions as well as to attenuate the progression of anaphylaxis. Being able to distinguish an anaphylactic reaction from an anaphylactoid reaction would help clarify the therapeutic and medicolegal issues. Anaphylaxis generally occurs after reexposure to a specific antigen and requires the release of proinflammatory mediators from mast cells and basophils. An increased concentration of mast cell tryptase is a highly sensitive indicator of anaphylactic reactions during anesthesia. Botropase(R) is a procoagulant hemocoagulase purified from venom of Bothrops jararaca, a Brazilian viper and in wide use in patients with high risk of bleeding. We report a case of suspected anaphylaxis to Botropase(R) in a 67 years old female patient undergoing segmental resection of the liver with elevated concentration of serum mast cell tryptase. (Korean J Anesthesiol 2006; 51: 105~8)