注射脉络宁后出现过敏性休克1例

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患者女,50岁.因右侧肢体瘫痪、言语不清1d,来我院门诊就诊.CT检查确诊为脑梗塞.给予10%葡萄糖500mL加脉络宁20mL(南京金陵制药厂,批号9304132)静脉滴注.约4min后突然出现呼吸困难、面色苍白、烦躁不安.体检:T37℃,P116次/min,R30次/min,BP7.98/3.99kPa;神志不清,面色苍白.口唇紫绀,呼吸窘迫,两肺满布哮鸣音,四肢未端发凉.诊断为过敏性休克.立即肌注肾上腺素1mg,同时给予吸氧,氢化可的松200mg静滴.5min后病人呼吸困难及紫绀缓解.血压回升至13.3/9.31kPa,肺部哮鸣音消失,神志清醒.脉络宁注射液系由中药玄参、牛膝等经化学提取后制成的复方注射液.具有扩张血管、改善微循环、增加血流量及抗凝血、溶血栓等作用.临床上常用于治疗周围血 Patients female, 50 years old due to the paralysis of the right limb, speechless 1d, to our hospital clinic .CT examination diagnosed as cerebral infarction.Give 10% glucose 500ml plus Mailuoning 20mL (Nanjing Jinling Pharmaceutical Factory, batch number 9304132) intravenous drip Note: about 4min after a sudden onset of dyspnea, pale, irritability. Physical examination: T37 ℃, P116 times / min, R30 times / min, BP7.98 / 3.99kPa; unconsciousness, pale, lips cyanosis, respiratory distress , Both lungs covered with wheeze, the limbs did not send cold .Absolutely diagnosed shock. Immediate intramuscular injection of epinephrine 1mg, while giving oxygen, hydrocortisone 200mg intravenous infusion .5min after patients with difficulty breathing and cyanosis relief. Blood pressure rose to 13.3 / 9.31kPa, pulmonary wheeze disappeared, conscious. Mailuoning injection from the Chinese medicine, Scrophulariaceae, Achyranthes and other chemical extraction made of compound injection with the expansion of blood vessels, improve microcirculation, Increase blood flow and anticoagulant, thrombolytic effect, etc. Clinical commonly used in the treatment of peripheral blood
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