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患者女,6岁,因支气管肺炎于2011年8月10日来我院入院,体格检查:体温36.8℃,脉搏110次/min,呼吸频率20次/min,血压90/60mmHg。医生给予0.9%氯化钠注射液250mL加注射用脂溶性维生素(I)[成都天台山制药有限公司,批号110904(Ⅱ)118]1支(维生素A310～450μg,维生素D4.5～6.0μg,维生素K190～102μg,维生素E2.9～3.5mg)静脉滴注,静脉滴注给药约20min后,患者主诉全身发痒、口干发麻,剧烈腹痛,继而出现心悸、胸闷、大量出汗等症状,体格检查:口唇发紫,血压测不出,脉搏细速。考虑为注射用脂溶性维生素(Ⅰ)所致,立即停止使用并给予地塞米松5mg滴斗入壶,约30min后症状有所缓解。
Female, 6 years old, came to our hospital on August 10, 2011 for bronchopneumonia. Physical examination: body temperature 36.8 ℃, pulse 110 beats / min, respiratory rate 20 beats / min, blood pressure 90 / 60mmHg. Doctors were given 0.9% sodium chloride injection 250mL plus fat-soluble vitamin injection (I) [Chengdu Tiantai Pharmaceutical Co., Ltd., batch number 110904 (Ⅱ) 118] 1 (vitamin A310 ~ 450μg, vitamin D4.5 ~ 6.0μg, Vitamin K190 ~ 102μg, vitamin E2.9 ~ 3.5mg) intravenous infusion, intravenous infusion of about 20min, the patient complained of systemic itching, dry mouth numbness, severe abdominal pain, followed by palpitations, chest tightness, sweating a lot Symptoms, physical examination: purple lips, blood pressure can not be measured, fine pulse speed. Consider injecting fat-soluble vitamins (I) due to the immediate use and dexamethasone 5mg dripping into the pot, about 30min after the symptoms eased.