노인환자에서 항생제와 진통제 주사 후 아나필락시스 : 증례보고
Anaphylaxis after injection of antibiotics and analgesics in a geriatric patient : report of cases
오지현, 유재하, 김종배,
소속 상세정보
오지현 ( Oh Ji-Hyeon ) - 연세대학교 원주의과대학 원주세브란스기독병원 치과학교실
유재하 ( Yoo Jae-Ha ) - 연세대학교 원주의과대학 원주세브란스기독병원 치과학교실
김종배 ( Kim Jong-Bae ) - 계명대학교 의과대학 동산의료원 치과학교실
KMID : 1033920150110010008
Abstract
Generalized anaphylaxis is a most dramatic and acutely life-threatening allergic reaction. Most fatalities from anaphylaxis
occur within the first 30 minutes post antigenic exposure. It may develop following the administration of an antigen by any
route, but is most likely to occur following parenteral administration. The signs and symptoms of generalized anaphylaxis are highly variable. Four major clinical syndromes are recognized : skin reactions, smooth muscle spasm(gastrointestinal and genitourinary tracts and respiratory smooth muscle), respiratory distress, and cardiovascular collapse. In typical generalized anaphylaxis, the symptoms progressively evolve through four areas ; however, in cases of fatal anaphylaxis, respiratory and cardiovascular disturbines predominate and are evident early in the reaction. Epinephrine and oxygen are the only drugs to administer during the acute phase of the anaphylactic reaction. This is a report of cases about anaphylaxis after injection of an antibiotics and analgesics in a geriatric patient.
키워드
Analgesics; Anaphylaxis; Antibiotics; Epinephrine; Parenteral administration
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