肌注破伤风抗毒素致过敏性休克、过敏性湿肺

来源 :药物流行病学杂志 | 被引量 : 0次 | 上传用户:xpzcz1993
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患者,男,28岁,左足背外伤1h。有“青霉素、头孢唑林钠”过敏史。体检:左足背见3cm长皮肤裂伤。X线片示:左足骨质未见明显异常。诊断:①左足皮肤裂伤;②左足软组织伤。破伤风抗毒素(中国生物技术集团公司兰州生物制品研究所,批号:20110526,规格:1500 u/支)皮试呈强阳性。给予破伤风抗毒素脱敏肌内注射,于2011年9月8日16时(左足背外伤后2 h)左臀部肌注第l针(破伤风抗毒素0.1 ml,含破伤风抗毒素150 u,用注射用水稀释至l ml)后 Patient, male, 28 years old, left foot back injury 1h. Have “penicillin, cefazolin sodium ” allergy history. Physical examination: 3cm long left skin and back skin laceration. X-ray film showed no obvious abnormalities of left foot bone. Diagnosis: ① left foot skin laceration; ② left foot soft tissue injury. Tetanus antitoxin (China Biotechnology Group Lanzhou Institute of Biological Products, batch number: 20110526, specifications: 1500 u / support) skin test was strongly positive. To give tetanus antitoxin desensitization intramuscular injection, at 16:00 on September 8, 2011 (left hindpaw 2 h after injury) left hip intramuscular injection of the first l needle (tetanus antitoxin 0.1 ml, tetanus antitoxin containing 150 u, with injection Diluted with water to 1 ml)
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