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氢化可的松被广泛用于治疗变应性疾病。本文报道1例在使用氢化可的松琥珀酸钠后引起变态反应期间发生冠状动脉痉挛。患者男性,61岁。以往无任何药物和食物过敏史.因休息时出现胸痛,为作冠状动脉造影而入院。物理检查及胸片均正常。胸痛发作时心电图显示无明显缺血性 ST-T 改变。踏车运动试验最大心率150/min 时未发现明显的 ST 段改变。经肌注安定5mg 后作心导
Hydrocortisone is widely used to treat allergic diseases. We report in this paper 1 case of coronary artery spasm during allergy caused by the use of hydrocortisone sodium succinate. Male patient, 61 years old. In the past, there was no history of any drug or food allergy, because of chest pain at rest and hospitalization for coronary angiography. Physical examination and chest X-ray were normal. ECG on chest pain showed no significant ischemic ST-T changes. Treadmill exercise test maximum heart rate 150 / min, no significant ST segment changes were found. After intramuscular injection of stable 5mg for cardiac conduction