辅酶A静脉注射致死一例

• 作 者: 王烈
• 机 构: 温州医学院附属第一医院
• 出 处: 温州医学院学报
• 发表日期: 1990年02期
• 关键词: 缓慢静脉推注 四肢厥冷 呼吸困难 白沫 冠心病 静脉注射 心律 胸闷 前区 心电图

患者男性、74岁,医务工作者。患冠心病、阵发性房颇多年。1988年12月15(?)工作时,感心前区不适,听诊心律整齐,心电图复查正常。翌日上午八时许独自去本市某医院门诊,以辅酶A100u+50％葡萄糖40ml缓慢静脉推注。当注入4ml时,患者感全身发痒,胸闷、心悸,随即出现呼吸困难,脸色苍白、口唇紫绀、大汗淋漓、四肢厥冷、口吐白沫、眼球上翻及意识丧失等症状。经积极抢救无效而死亡。

Male patient, 74 years old, medical worker. Coronary heart disease, paroxysmal room quite many years. December 1988 15 (?) Work, the former area of ​​discomfort, auscultation auscultation, normal ECG review. 8 o’clock the next day alone to a city outpatient clinic to Coenzyme A100u + 50% glucose 40ml slow intravenous injection. When injected with 4ml, the patient felt itchy, chest tightness, heart palpitations, then breathing difficulties, pale, lips cyanotic, sweating, extremities Jueleng, foaming at the mouth, eye up and loss of consciousness and other symptoms. After the active rescue died.