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气管内插管全身麻醉下的过敏反应不易判断,早期症状不典型,主要靠麻醉医生在手术间内的仔细观察发现。患者,男性,53岁,50 kg,因“胃幽门部腺癌”拟在全麻下行Billoth 2式根治术。否认食物和药物过敏史,入院行头孢皮试为阳性结果。术前血常规、凝血功能及肝肾功能电解质无明显异常。入手术室监测生命体征稳定,术前30min地塞米松10mg和长托宁0.5mg静脉注射。常规麻醉诱导完成,气管插管,机控呼吸,气道压为10cmH2O。手术进行45min时医生发现术野渗血
Endotracheal intubation allergic reactions under general anesthesia is not easy to judge, atypical early symptoms, mainly by anesthesiologists found in the operation room carefully. Patients, men, 53 years old, 50 kg, due to “Gastric pyloric adenocarcinoma” to be under general anesthesia Billoth 2 radical surgery. Denied the history of food and drug allergy, hospital admission cephalosporin test for positive results. Preoperative blood, coagulation and liver and kidney function electrolyte no significant abnormalities. Into the operating room to monitor the vital signs stable, 30min dexamethasone 10mg and long carenin 0.5mg intravenously before surgery. General anesthesia induction was completed, tracheal intubation, controlled breathing, airway pressure was 10cmH2O. Surgery for 45min when the doctor found surgery bleeding