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患者,男,8岁,因手外伤行清创包扎后准备注射TAT预防破伤风。按常规先进行皮试:以稀释20倍的TAT注射液(卫生部兰州生物制品研究所制,批号960601)0.1ml(内含TAT3.75IU)在左前臂近掌侧做皮内注射。10分钟后,皮丘增大,周围出现红晕,直径大于1cm,随后周围皮肤出现数片风团,有瘙痒感,判断为皮试阳性,未行TAT肌注。数分钟后,风团迅速蔓延至全身,并出现烦躁不安、面色苍白、全身冷汗和呼吸急促表现。查体:T36.8℃,P106次/分,R36次/分,BP8/6kPa,颜面及全身皮肤均布满
Patient, male, 8 years old, prepared for injection of TAT to prevent tetanus after debridement and bandaging of hand trauma. According to the routine first skin test: to dilute 20 times the TAT injection (Ministry of Health Lanzhou Institute of Biological Products, Lot 960601) 0.1ml (containing TAT3.75IU) in the left forearm near the palm to do intradermal injection. 10 minutes later, the pimples increased, around the flush, diameter greater than 1cm, followed by a few tablets around the skin wind group, itching, judged to be skin test positive, not TAT intramuscular injection. A few minutes later, the wind quickly spread to the whole body, and irritability, pale, full body cold sweat and shortness of breath performance. Physical examination: T36.8 ℃, P106 beats / min, R36 beats / min, BP8 / 6kPa, face and body skin are full