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低分子右旋糖酐为临床常用的抗血小板聚集药物,但皮肤过敏甚至过敏性休克等各种不良反应时有发生,在其不良反应中以过敏性休克最严重。因而正确处理过敏性休克,尤其是重度过敏性休克,对于临床工作者有着重要意义。本文探讨肾上腺素注射液、多巴胺注射液、盐酸异丙嗪注射液在重度过敏性休克抢救中的作用。1临床资料:患者,男性,75岁,因腔隙性脑梗死住院,给予低分子右旋糖酐抗血小板聚集,经皮试阴性后,静点1分钟后病人突然出现心慌、呼吸困难、喉头堵塞感、胸闷、唇发绀、四肢厥冷、大汗淋漓、意识不清、烦躁不安、血压测不到,心率
Low molecular weight dextran is commonly used in clinical anti-platelet aggregation drugs, but skin allergies and even anaphylactic shock and other adverse reactions occur from time to time, in its adverse reactions in the most severe anaphylactic shock. Therefore, the correct handling of anaphylactic shock, especially severe anaphylactic shock, has clinical significance for clinicians. This article discusses the role of epinephrine injection, dopamine injection, promethazine hydrochloride injection in severe anaphylactic shock rescue. 1 clinical data: patients, men, 75 years old, hospitalized for lacunar infarction, given low molecular weight dextran antiplatelet aggregation, transdermal test negative, static point after 1 minute the patient suddenly appeared palpitation, dyspnea, throat blockage, Chest tightness, lip cyanosis, extremities Jueleng, sweating, unconsciousness, irritability, undetectable blood pressure, heart rate