论文部分内容阅读
1例37岁女性患者因异位妊娠伴轻度贫血给予蔗糖铁注射液200 mg（10 ml）入0.9%氯化钠注射液250 ml静脉滴注。输注药液约3 min时，患者突然出现喉部不适、呕吐、刺激性呛咳，迅即出现呼吸困难、面色发绀，血氧饱和度0.87，血压87/56 mmHg（1 mmHg=0.133 kPa），心率121次/min，考虑为蔗糖铁注射液引起的喉头水肿。立即停止滴注，给予氧气吸入，先后静脉给予地塞米松共20 mg，患者症状逐渐好转。2 h后患者生命体征平稳，症状消失。“,”A 37-year-old female patient received an IV infusion of iron sucrose injection 200 mg dissolved in 250 ml of 0.9% sodium chloride injection for ectopic pregnancy and mild anemia. About 3 minutes of infusion, the patient suddenly developed laryngeal discomfort and irritating cough. Her symptoms worsened rapidly, dyspnea and cyanosis appeared, oxygen saturation decreased to 0.87, blood pressure was 87/56 mmHg, and heart rate was 121 beats/min. Laryngeal edema induced by iron sucrose injection was considered. Iron sucrose was discontinued immediately, oxygen inhalation and a total dose of dexamethasone 20 mg by IV infusion or IV injection were given. The patient′s symptoms gradually improved. Two hours later, her vital signs were stable and the symptoms disappeared.