気胸手術中のフィブリン糊によるアナフィラキシー

Anaphylaxis Induced by Fibrin Glue During Surgery for Pneumothorax

肺の手術をはじめ，多くの手術でフィブリン糊が使用されている．われわれは，フィブリン糊によるアナフィラキシーショックと考えられた症例を経験したため報告する．

We report here our experience with a case of anaphylactic shock caused by fibrin glue. A 51-year-old male underwent a thoracoscopic surgery for refractory pneumothorax under local anesthesia. Bullae were revealed, and subsequently covered with fibrin glue and a polyglycolic acid sheet. Twenty-minutes after application of the fibrin glue, sudden drop of blood pressure less than 80 mmHg and a skin rash appeared. Since the patient was not administered any other drugs prior to the reduction in blood pressure, anaphylactic shock was considered to be caused by fibrin glue. The patient recovered after the treatment by dopamine and steroid.