医学
血栓弹性测定
氨甲环酸
纤溶亢进
过敏反应
心脏外科
麻醉
外科
不利影响
过敏性休克
休克(循环)
凝血病
过敏
内科学
失血
免疫学
作者
Levilester Salcedo,Federico Manuel Baloira,Alejo Adrover,Juan C. Bianco,María Eugenia García Guzzo
出处
期刊:A&A practice
[Ovid Technologies (Wolters Kluwer)]
日期:2023-11-01
卷期号:17 (11): e01730-e01730
被引量:1
标识
DOI:10.1213/xaa.0000000000001730
摘要
Life-threatening anaphylaxis to tranexamic acid (TXA) is rare but critical in cardiac surgery. A 76-year-old patient undergoing elective ascending aorta replacement developed severe anaphylactic shock shortly after anesthesia induction. Subsequent skin prick tests confirmed a positive TXA reaction. While TXA and lysine derivatives were avoided in the second surgery, the patient experienced hyperfibrinolysis. Guided by rotational thromboelastometry, hemostatic therapy led to a successful outcome with minimal postoperative bleeding. This report emphasizes the importance of drug risk awareness and strategies to mitigate excessive bleeding in cardiac surgery.
科研通智能强力驱动
Strongly Powered by AbleSci AI