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孙某,男性,34岁,既往无药物过敏史,因肝区疼痛、厌油腻饮食而B超提示肝脏占位性疾病,来我科进行肝脏扫描检查,经平扫后,肝脏部位有低密度影而遵医嘱行增强扫描。按一般腹部检查由静脉快速推注76％的泛影葡胺80ml,大约在2分钟内推完。此时,立即进行扫描,在扫描过程中,患者并无任何不适,增强效果也较理想,病人配合好。在病人检查完后大约10分钟,还处于观察阶段,病人突然出现胸闷、气短、呼吸急促血压下降至9/6.4KPa,面色苍白、冷汗、紫绀、脉搏细弱、全身皮疹等过敏性休克的症状。此时,立即采取抢救措施,去枕平卧,即刻皮下注射0.1％盐酸肾上腺素0.5mg,并立即给氢化考地松200mg加50％的葡萄糖40ml静脉推注并续于10％葡萄糖500ml加地塞
Sohn, male, 34 years old, no past history of drug allergy, due to liver pain, greasy tired of the diet and B-prompt liver-space-occupying disease, to our department for liver scan examination, after plain scan, the liver parts have low density Shadow and follow instructions to enhance scanning. Press the general abdominal examination by intravenous bolus 76% of the diatrizoate 80ml, about 2 minutes to push finished. At this point, immediately scan, in the scanning process, the patient does not have any discomfort, enhance the effect is also better, the patient with a good. About 10 minutes after the patient’s examination, the patient is still in the observation stage. The patient suddenly has symptoms of chest tightness, shortness of breath, shortness of breath and blood pressure drop to 9 / 6.4KPa, pale, cold sweat, cyanosis, weak pulse and systemic rash. At this point, immediately take rescue measures to pillow supine, immediate subcutaneous injection of 0.1% epinephrine hydrochloride 0.5mg, and immediately give hydrocortisone 200mg plus 50% glucose 40ml intravenous bolus and continued in 10% glucose 500ml plus dexamethasone