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参麦注射液致严重过敏反应1例

杨星辰   

  1. 上海中医药大学附属龙华医院
  • 收稿日期:2013-07-29 修回日期:2013-08-07 出版日期:2013-08-25 发布日期:2013-08-25

A Case Severe Anaphylactic Reaction Caused by Shenmai Injection

  1. Longhua Hospital Shanghai University of TCM
  • Received:2013-07-29 Revised:2013-08-07 Online:2013-08-25 Published:2013-08-25

摘要: 【】 1例 84岁女性患者因骨质疏松,胸、腰椎压缩性骨折入院治疗,予参麦注射液40ml,QD,静脉滴注。3天后出现寒战、气急喘促,心慌,BP:200/95mmhg,HR:153次/分钟,诊断为药物过敏反应,急性左心衰。予以二羟丙茶碱注射液、注射用甲泼尼龙琥珀酸钠抗过敏平喘,去乙酰毛花苷注射液、盐酸胺碘酮注射液强心,未能纠正心衰,转入ICU进一步治疗,予盐酸普罗帕酮注射液抗心率失常,果糖二磷酸钠注射液营养心肌,二羟丙茶碱注射液解痉平喘,注射用胸腺肽α1提高免疫力,经治疗后患者生命体征平稳。

Abstract: 【】 A 84-year-old female patient with osteoporosis, thoracolumbar compression fractures received Shenmai Injection 40 ml, once daily. Three days later, the patient presented with chills wheeze palpitations, flustered. Moreover, her blood pressure was 200/95 mm hg, her heart rate was 153 beats/min. Drug-induced acute left ventricular failure was diagnosed. Diprophylline, methylprednisolone, deslanoside, amiodarone were given, but the symptoms of patient were failed to ease. After transferred to the ICU, she was treated with propafenone hydrochloride, Fructose Diphosphate sodium, Diprophylline, thymosin, her conditions improved.