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CT已广泛应用于临床,并常使用造影剂作为增强扫描。由于多使用离子型造影剂,及团注法给药,注射速度快、剂量大、浓度高,因而碘过敏反应时有发生。本院CT检查29000人次,其中增强CT扫描3039人。有2678人次使用国产60％复方泛影葡胺,少数病例有恶心呕吐、喷嚏、过敏性皮疹、面色潮红等不良反应,有3例重度碘过敏致喉头水肿、过敏性休克。现将3例碘过敏病例的表现及抢救报道如下。
CT has been widely used in clinical, and often use contrast media as enhanced scan. Due to the use of ionic contrast agents, and bolus injection, injection speed, high dose, high concentration, and thus iodine allergic reactions have occurred. The hospital CT examination of 29,000 passengers, including enhanced CT scan 3039 people. There are 2678 people using domestic 60% compound diatrizoate, a small number of cases of nausea and vomiting, sneezing, allergic rash, flushing and other adverse reactions, there are 3 cases of severe iodine induced laryngeal edema, anaphylactic shock. Now 3 cases of iodine allergy performance and rescue reported as follows.