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患儿女,5岁。1991—05—17第二次皮下接种流脑疫苗0.5ml,20分钟后患儿周身出现片状荨麻疹,伴有奇痒,未经处置30分钟后荨麻疹自行消退。继而患儿出现呕吐,呼吸急促,出冷汗,面色苍白,四肢发凉,血压偏低等轻度过敏休克症状。立即使患儿平卧肌肉注射盐酸异丙嗪15mg,温开水加入少量的食糖口服,四肢保温,20分钟后患儿症状逐渐好转,呕吐停止,呼吸平稳,血压上升恢复正常。继续观察了3h患儿完全恢复正常。讨论接种流脑疫苗引起的反应绝大多数很轻微。一般不需要特殊处理,适当休息1—2天反应就会自然消失。在
Children with children, 5 years old. 1991-05-17 The second subcutaneous inoculation of meningitis vaccine 0.5ml, 20 minutes after the emergence of sheeting urticaria around the body, accompanied by itching, urticaria subsided after 30 minutes of untreated. Then children with vomiting, shortness of breath, a cold sweat, pale, cold limbs, low blood pressure and other mild allergic shock symptoms. Immediately make the children with intramuscular injection of promethazine hydrochloride 15mg, warm water, add a small amount of oral sugar, limbs insulation, 20 minutes after the children gradually improved symptoms, vomiting stopped, breathing steady, blood pressure rose back to normal. Continue to observe the 3h children fully returned to normal. Discussion Most of the reactions caused by vaccination with meningococcal vaccine are mild. Generally do not need special treatment, proper rest 1-2 days will naturally disappear. in