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[氟烷性肝炎病例中超敏反应临床体征的相关性]

[Relevance of clinical signs of hypersensitivity in cases of halothane hepatitis].

作者信息

Walton B

出版信息

Ann Anesthesiol Fr. 1976;17(3):291-4.

PMID:984517
Abstract

142 patients with postoperative jaundice following anaesthesia with halothane were divided into two groups:-group A (76 cases) in which halothane appeared to be the sole responsible agent for jaundice, and- group B (66 cases) in which other causes were detected. The incidence of clinical signs considered to be specific for halothane-induced hepatitis (skin rash, arthralgia, bronchospasm, fever of unexplained origin, leukocytosis) was the same in both groups. Only a high eosinophil count was more common in group A. The author found a clear-cut relationship between the frequency of exposure and the onset of hepatitis as well as a shortening of the latent period with increasing numbers of exposures.

摘要

142例接受氟烷麻醉后出现术后黄疸的患者被分为两组:A组(76例),其中氟烷似乎是黄疸的唯一致病因素;B组(66例),其中检测到其他病因。两组中被认为是氟烷性肝炎特异性的临床体征(皮疹、关节痛、支气管痉挛、不明原因发热、白细胞增多)发生率相同。仅嗜酸性粒细胞计数升高在A组中更为常见。作者发现接触频率与肝炎发病之间存在明确的关系,并且随着接触次数的增加潜伏期缩短。

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