血必净注射液致过敏反应

1例44岁男性患者因自行服用利血平约50片,出现恶心、呕吐、头晕、乏力,送医院急诊。给予血必净注射液50 ml加入0.9%氯化钠注射液250 ml静脉滴注。约5 min后,患者突然出现呼吸急促、大汗、面部潮红、心慌、胸闷、呼吸困难,血压73/50 mm Hg(1 mm Hg=0.133 kPa),心率93次/min,呼吸22次/min。立即停止输液,给予氢化可的松、地塞米松、多巴胺,同时行吸氧及心电监护。30 min后患者病情好转,血压106/76 mm Hg。

Allergic reaction induced by Xuebijing injection

A 44-year-old male patient deliberately ingested about 50 tablets of reserpine, and he was brought to the hospital emergency department with vomiting, nausea, dizziness, and asthenia. The patient was treated with an IV infusion of 50 ml of Xuebijing injection in 0.9% sodium chloride 250 ml. About 5 minutes later, the patient suddenly presented with tachypnea, hidrosis, facial flushing, palpitation, chest tightness, and dyspnea. Moreover, his blood pressure was 73/50 mm Hg, his heart rate was 93 beats/min and, his respiratory rate was 22 breaths/min. The infusion was stopped immediately. Hydrocortisone, dexamethasone, and dopamine were given and, in the meantime, he underwent oxygen inhalation and electrocardiogram monitoring. Thirty minutes later, his conditions improved and blood pressure increased to 106/76 mm Hg.