상악골괴사 환자에서 페니실린 정주 후 아나필락틱 쇼크: 증례보고
Anaphylactic Shock after Intravenous Injection of Penicillin in a Patient with Maxillary Osteonecrosis: Report of a Case
오지현, 손정석, 최병호, 이정섭, 김지훈, 유재하,
소속 상세정보
오지현 ( Oh Ji-Hyeon ) - 연세대학교 원주의과대학 원주세브란스기독병원 치과학교실
손정석 ( Son Jeong-Seog ) - 연세대학교 원주의과대학 원주세브란스기독병원 치과학교실
최병호 ( Choi Byung-Ho ) - 연세대학교 원주의과대학 원주세브란스기독병원 치과학교실
이정섭 ( Lee Jeong-Sub ) - 연세대학교 원주의과대학 원주세브란스기독병원 치과학교실
김지훈 ( Kim Ji-Hun ) - 연세대학교 원주의과대학 원주세브란스기독병원 치과학교실
유재하 ( Yoo Jae-Ha ) - 연세대학교 원주의과대학 원주세브란스기독병원 치과학교실
KMID : 0980220140140040243
Abstract
Generalized anaphylaxis is a most dramatic and acutely life-threatening allergic reaction and may cause death within a few minutes. Differential diagnosis of anaphylaxis is made by clinical signs, such as, mental change, respiratory distress, hypotension, hypoglycemia, urticaria and angioedema. Especially, insulin reaction, myocardial infarction and vasovagal syncope are considered as differential diagnosis. In cases of fatal anaphylaxis, respiratory and cardiovascular disturbances predominate and are evident early in the reaction. This is a case report of the intensive care of anaphylactic shock after intravenous injection of the penicillin in a old medically compromised patient with the maxillary osteonecrosis. The anaphylactic shock symptoms, such as, unconsciousness, respiratory disorder, no pulsation on carotid artery and cardiopulmonary arrest are occurred in intravenous injection of augmentin 1.2 g after the skin test. In spite of immediate emergency cares, such as intravenous injection of epinephrine, endotracheal intubation, cardiopulmonary resuscitation, and continuous intensive care, the patient is expired in 58 hours after anaphylactic shock attack.
키워드
Anaphylactic shock; Cardiopulmonary resuscitation; Epinephrine; Maxillary osteonecrosis; Penicillin
원문 및 링크아웃 정보
등재저널 정보