碘海醇静脉团注致过敏性休克  

Anaphylactic shock due to an IV bolus injection of iohexol

作　　者：李学文[1] 顾欣[2] 孟凡超[1] 宗洁[2] 崔兰柱[2] 卢刚[2] 黄良生[3] 

机构地区：[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

出　　处：《药物不良反应杂志》2010年第1期61-62,共2页Adverse Drug Reactions Journal

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。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from 65 beats/min to 90 beats/min and he developed throat discomfort,cough,and skin itching on hands.Then iohexol was withdrawn.Subsequently,the patient experienced generalized asthenia,faint,confusion,weak pulse,and polyhidrosis,her blood pressure was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.

关 键 词：碘海醇 静脉团注 不良反应 过敏性休克 

分 类 号：R593.1[医药卫生—内科学]