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低分子右旋糖酐是血管扩容剂,引起过敏症较少见,致过敏性休克则未见报道。本文报道1例如下:病例报告:患者女性,58岁,因头晕、恶心1天,加重1h入院。入院体检:T:36.7℃,P:80次/分,R:20次/分,BP:20/11Kpa,神清、腹软、心肺无异常。CT检查示:轻度脑梗塞,入院诊断为“脑梗塞”。入院后按医嘱给予静滴低分子右旋糖酐500ml;静滴约20ml后,患者出现皮肤潮红、瘙痒,立即停药,给予肌注非那根25mg,静脉注射地塞米松10mg后,
Low molecular weight dextran is a vasodilator, causing allergies is rare, caused by anaphylactic shock has not been reported. This article reports a case as follows: Case report: female patients, 58 years old, 1 day due to dizziness, nausea, increased 1h admission. Admission physical examination: T: 36.7 ℃, P: 80 beats / min, R: 20 beats / min, BP: 20 / 11Kpa, Shen Qing, abdominal soft, no abnormal heart and lung. CT examination showed: mild cerebral infarction, admission diagnosed as “cerebral infarction.” After admission by doctor’s advice given intravenous infusion of low molecular weight dextran 500ml; intravenous infusion of about 20ml, the patient appeared skin flushing, itching, immediate withdrawal, intramuscular injection of non-root 25mg, intravenous dexamethasone 10mg,