PDF(Pubmed)
Abstract：
Exercise induced anaphylaxis (EIA) is a rare and potentially life-threatening syndrome characterized by anaphylaxis provoked by exercise. Although vaginal delivery with labor pain is a physical strain for women and a possible trigger for EIA, no consensus exists on the management strategy of delivery in patients with EIA. A 28-year-old primigravida was referred to our hospital because of history of EIA, associated with pruritus, urticaria, and respiratory distress, exacerbated during physical activity. To avoid physical stress, we chose scheduled labor induction with epidural anesthesia, and administered prophylactic intravenous hydrocortisone. She delivered vaginally with no symptoms suggestive of EIA during labor. Since it is quite possible for patients with EIA to develop anaphylaxis during vaginal delivery with labor pain, epidural anesthesia and prophylactic steroid administration may be the most rational approaches for delivery in pregnant women with EIA.
摘要：
运动诱发的过敏反应（EIA）是一种罕见且可能危及生命的综合征，其特征是运动引起的过敏反应。尽管阴道分娩伴分娩疼痛对女性来说是一种身体压力，也可能是EIA的触发因素，对于EIA患者的分娩管理策略尚无共识.一名28岁的primigravida因为环境影响评估史被转诊到我们医院，与瘙痒有关，荨麻疹,呼吸窘迫,在身体活动期间加剧。为了避免身体压力，我们选择了硬膜外麻醉的定时引产,并给予预防性静脉内氢化可的松。她在分娩期间阴道分娩，没有症状提示EIA。由于EIA患者很可能在阴道分娩过程中出现过敏反应并伴有分娩疼痛，硬膜外麻醉和预防性类固醇给药可能是EIA孕妇分娩的最合理方法。
