论文部分内容阅读
例1:女,36岁。左手机器挤伤1小时行清创缝合后常规肌注精制破伤风抗毒素。无过敏史。常规前臂掌侧皮内注射试验阴性后肌注 TAT1500u,观察30分钟无不适步行回家。离院约10分钟,病人突觉胸闷、气喘、恶心、冷汗,急送回院。检查:面色苍白,神志恍惚,脉细速,P120次/分,BP7.3/4.7kPa。诊断:TAT 致迟发性过敏性休克。即吸氧、肌注盐酸肾上腺素1mg、25%葡萄糖40ml 加10%葡萄糖酸钙10ml 及地塞米松5mg 静注。25分钟后 P80次/分,BP13.3/9.3kPa,病人
Example 1: Female, 36 years old. Left-handed crushing machine 1 hour after debridement routine intramuscular injection of tetanus antitoxin. No history of allergy. Conventional forearm intracranial injection test negative after intramuscular injection of TAT1500u, observe 30 minutes without discomfort walk home. About 10 minutes to leave the hospital, the patient suddenly felt chest tightness, asthma, nausea, cold sweat, rush back to the hospital. Check: pale, trance, pulse speed, P120 beats / min, BP7.3 / 4.7kPa. Diagnosis: TAT induced delayed anaphylactic shock. Namely oxygen, intramuscular injection of epinephrine hydrochloride 1mg, 25% glucose 40ml plus 10% calcium gluconate 10ml and dexamethasone 5mg intravenous injection. 25 minutes after P80 beats / min, BP13.3 / 9.3kPa, the patient