荧光素钠注射液过敏性休克致醒状昏迷  

Coma vigil from anaphylactic shock caused by fluorescein sodium injection

作　　者：李艳翠[1] 侯大平[1] 雷力力[1] 荆洪英[1] 

机构地区：[1]佳木斯大学附属第一医院药剂科,黑龙江佳木斯154002

出　　处：《药物不良反应杂志》2009年第2期139-139,共1页Adverse Drug Reactions Journal

摘　　要：1例68岁女性糖尿病性视网膜病变患者,为行眼底血管造影检查使用1%荧光素钠注射液5ml静脉注射行过敏试验。静脉注射后3min,患者出现呼吸困难,意识不清,BP40/20mmHg,心跳停止1min。立即给予肌内注射异丙嗪50mg,地塞米松10mg,肾上腺素1mg治疗。后来查体:P124次/min,BP147/81mmHg,患者处于醒状昏迷。住院175d后,患者以醒状昏迷出院。A 68-year-old woman with diabetic retinopathy received 5 ml of IV fluorescein sodium 1% as an allergy test for ocular fundus angiography. Three minutes after injection, the woman developed dyspnoea and unconsciousness. His BP was 40/20 mmHg. She experienced one minute of cardiac arrest. The patient was administered with IM promethazine 50 mg, IM dexamethasone 10 mg, and IM adrenaline 1 mg, immediately. Subsequently, an examination revealed a pulse rate of 124 beats/min and a BP of 147/81 mmHg. The patient was in a coma vigil. After 175 days of hospitalization, she was discharged with a coma vigil.

关 键 词：荧光素钠 过敏性休克 醒状昏迷 不良反应 

分 类 号：R593.1[医药卫生—内科学]