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多年来,已认识到右旋筒箭毒可引起组织胺释放。自1939年 Alam 等在狗身上证实动脉内注射右旋筒箭毒可致组织胺从肌肉释放以来,临床上使用右旋筒箭毒引起偶发的支气管收缩和低血压亦都归因于此。已有一些用大剂量右旋筒箭毒引起过敏样反应的个案报告,作者最近遇到一例在气管插管前用小剂量右旋筒箭毒后发生支气管收缩,全身红斑和循环虚脱的病例。患者女性26岁,因行阴道内子宫切除术而入院,麻醉前口服安定10毫克,肌注吗啡12毫克,戊巴比妥120毫克。氧合前血压110/70,静注试验剂量硫
For many years, it has been recognized that right-canisterine poison can cause histamine release. Since 1939, Alam and other dogs in the body confirmed that intra-arterial injection of right-bellied poison can cause histamine release from the muscle since the clinical use of right-bellied poison caused by occasional bronchoconstriction and hypotension are also attributed to this. There are several recent case reports of allergic reactions caused by high doses of right-sided Itachiatoxin. The authors recently encountered a case of bronchoconstriction, systemic erythema and recurrent collapse after a small dose of right-sided guanella before intubation. The patient, a 26-year-old woman admitted to the hospital for vaginal hysterectomy, prescribed 10 mg orally before anesthesia, 12 mg intramuscular injection of morphine, and 120 mg pentobarbital. Pre-oxygenation blood pressure 110/70, intravenous test dose of sulfur