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碘海醇静脉团注致过敏性休克
引用本文:李学文,顾欣,孟凡超,宗洁,崔兰柱,卢刚,黄良生. 碘海醇静脉团注致过敏性休克[J]. 药物不良反应杂志, 2010, 12(1): 61-62
作者姓名:李学文  顾欣  孟凡超  宗洁  崔兰柱  卢刚  黄良生
作者单位:1. 武警医学院附属医院,心内科,天津,300162
2. 武警医学院附属医院,放射科,天津,300162
3. 武警医学院附属医院,急诊科,天津,300162
摘    要:1例52岁男性患者行CTA检查,给予碘海醇注射液20ml静脉团注后,患者心率由65次/min升至90次/min,并出现咽部不适、咳嗽及手部皮肤瘙痒,遂停用该药。随后出现周身乏力,昏倒,意识不清,脉搏减弱,大汗,血压测不出。立即给予抗过敏、抗休克及对症治疗,患者症状逐渐好转。1周后痊愈。

关 键 词:碘海醇  静脉团注  不良反应  过敏性休克

Anaphylactic shock due to an IV bolus injection of iohexol
Li Xuewen,Gu Xin,Meng Fanchao,Zong Jie,Cui Lanzhu,Lu Gang,Huang Liangsheng. Anaphylactic shock due to an IV bolus injection of iohexol[J]. Adverse Drug Reactions Journal, 2010, 12(1): 61-62
Authors:Li Xuewen  Gu Xin  Meng Fanchao  Zong Jie  Cui Lanzhu  Lu Gang  Huang Liangsheng
Affiliation:1aDepartment of Cadiology Medicine,1bDepartment of Radiology,1cDepartment of Emergency,The Affiliated Hospital of Chinese People's Armed Police Force Medical College,Tianjin 300162,China)
Abstract:A 52-year-old man underwent a CTA test.After an IV bolus injection of iohexol 20 ml,his heart rate increased from 65 beats/min to 90 beats/min and he developed throat discomfort,cough,and skin itching on hands.Then iohexol was withdrawn.Subsequently,the patient experienced generalized asthenia,faint,confusion,weak pulse,and polyhidrosis,her blood pressure was undetectable.Anti-allergic,anti-shock,and symptomatic treatments were given immediately,his symptoms improved gradually.He recovered after one week.
Keywords:iohexol  IV bolus injection  adverse reactions  anaphylactic shock
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