Anaphylactoid Shock Induced by Oxytocin Administration-A Case Report

Oxytocin導致類過敏性休克之病例報告

林明忠(Ming-Chung Lin) ； 謝登貴(Teng-Kuei Hsieh) ； 劉哲安(Che-An Liu) ； 褚錦承(Chin-Chen Chu) ； 陳貞吟(Jen-Yin Chen) ； 王志中(Jhi-Joung Wang) ； 謝介平(Ja-Ping Shieh)

《Acta Anaesthesiologica Taiwanica》 45卷4期 (2007/12) Pp. 233-236

摘要

臨床上使用的oxytocin是一種合成的賀爾蒙，具有促進子宮收縮的特性，因此被廣泛地使用於誘導、加速生產及預防產後大出血等產科用途上。根據以往的報告，oxytocin可能導致許多副作用，包括低血壓、心搏過速等；而因使用oxytocin所導致的類過敏性休克則是非常少見。我們在此報告一位接受常規剖腹產之孕婦，在投予oxytocin後產生類過敏性休克，所幸及早發現而成功救治。本文將回顧以往類似的病例報告，並討論過敏性休克之正確處置方法。

關鍵字

Oxytocin ； 類過敏性休克 ； 剖腹產

並列摘要

”Piton-S”, a preparation of synthetic hormone of oxytocin, is the most common pharmacologic agent used for the induction and augmentation of labor, as well as preventing postpartum hemorrhage owing to its uterotonicproperties. There are many adverse effects reported with oxytocin, including hypotension and tachycardia. Anaphylactoid reaction to oxytocin is extremely rare. Here we bring forth a case who sustained from anaphylactoid shock following oxytocin administration during the act of cesarean section. We would like to discuss the proper management of perioperative anaphylaxis after review of similar cases in the literature.

並列關鍵字

Oxytocin ； Shock: anaphylactoid ； Cesarean section