title: Demographic and clinical characteristics of patients with anaphylactic shock after surgery for cystic echinococcosis.
abstract: We reviewed the records of 446 patients who were treated surgically for cystic echinococcosis (CE) to identify risk factors for anaphylactic shock. Of 446 patients, 10 had final diagnoses of anaphylactic shock induced by CE; none died. The incidence of anaphylactic shock was significantly higher in younger age groups (P < 0.001) and in patients with pulmonary cysts. Anaphylactic shock induced by CE appears to differ from type I immediate hypersensitivity shock, which suggests that in CE, shock may be caused by a combination of immediate hypersensitivity and endotoxic shock. This possibility suggests that additional precautions should be taken during surgery. These precautions include reducing intracystic pressure, which would prevent possible leaked liquid from reaching other organs by surrounding the cyst with sterile gauze and decrease the chance of spreading the echinococcus; preventing antigen from contacting other tissues where it might trigger anaphylaxis; and resecting the cyst completely when feasible.
authors: Department of Anesthesiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi, People's Republic of China.
authors: Yimei
authors: Y
authors: Li
authors: Hong
authors: H
authors: Zheng
authors: Xinghua
authors: X
authors: Cao
authors: Zaoling
authors: Z
authors: Liu
authors: Lili
authors: L
authors: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000707:Anaphylaxis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D004298:Dopamine / Q000627:therapeutic use; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000601:surgery*; D004445:Echinococcosis, Pulmonary / Q000150:complications* / Q000601:surgery*; D004837:Epinephrine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013566:Sympathomimetics / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D013566:Sympathomimetics; D004298:Dopamine; D004837:Epinephrine