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1例38岁女性患者因左下肢血管畸形行左下肢顺行性深静脉造影,在静脉注射地塞米松10 mg后,以0.3 ml/s的速度静脉注射0.9%氯化钠注射液50 ml+碘佛醇注射液50 ml。注射完毕后约1 min,患者出现面色苍白、口唇发绀、胸闷、恶心、呕吐,血压测不到,无自主呼吸。心电监护显示心室颤动。即刻静脉注射地塞米松、肾上腺素,并数次静脉滴注多巴胺、异丙肾上腺素、胺碘酮、碳酸氢钠、阿托品等,给予胸外心脏按压及口对口人工呼吸、电除颤并置入临时起搏器。2 d后患者终因心室扑动抢救无效死亡。
A 38-year-old woman with left lower extremity anastomosis and deep venous angiography was performed on a 38-year-old female. After intravenous dexamethasone 10 mg, 0.9% sodium chloride injection 50 ml and iodine Furol injection 50 ml. About 1 min after injection, the patient appeared pale, lips cyanosis, chest tightness, nausea, vomiting, blood pressure measured, no spontaneous breathing. Cardioversion shows ventricular fibrillation. Immediate intravenous injection of dexamethasone, epinephrine, and several intravenous drip of dopamine, isoproterenol, amiodarone, sodium bicarbonate, atropine, given intrathoracic heart pressure and mouth-to-mouth resuscitation, defibrillation and Into the temporary pacemaker. Patients died of ventricular flutter after 2 days.