在白内障手术中经过周周麻醉后对氨酶的过敏反应:两例病例报告
Cheng Cheng1,2,3, Yanfeng Han1,2,3, Xiaoxi Liu1,2,3
1Eye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, Qingdao, Shandong, People's Republic of China.
Drug, healthcare and patient safety
|February 19, 2026
概括
对眼科手术麻醉的罕见并发症 - - 氨酸酶的过敏反应可以模仿严重的疾病. 及时诊断和治疗对于患者的安全和最佳结果至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 麻醉学 麻醉学
- 过敏和免疫学 过敏和免疫学
背景情况:
- 对 hialuronidase 的过敏反应,虽然很少见,但在眼科手术中区域麻醉后可能会发生.
- 这些反应可能表现出类似于轨道细胞炎等严重疾病的症状,需要及时识别.
研究的目的:
- 报告在白内障手术中用 hialuronidase 增强的围膜麻醉后出现过敏反应的两例病例.
- 突出在术后围膜炎炎症的差异诊断中考虑过敏性氨酶的重要性.
主要方法:
- 介绍了两项不同的案例研究,涉及在白内障手术后出现过敏反应的患者.
- 利用临床观察,超声波成像,C反应蛋白 (CRP) 水平和微生物培养来诊断和差异诊断.
主要成果:
- 两位患者在手术后几个小时内都出现了渐进的外耳周胀和炎症.
- 病例2显示CRP水平升高,最初表明感染,但阴性培养证实了非传染病因.
- 这两种病例都通过及时治疗成功解决,包括抗组胺剂,皮质类固醇,在一种情况下,抗生素.
结论:
- 氨酶过敏是一种不常见但重要的考虑在急性术后外周周炎症.
- 临床评估,成像和实验室测试的结合对于准确的诊断至关重要,将其与传染性并发症区分开来.
- 早期诊断和适当的管理对于患者的安全和成功康复至关重要.
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