氨曲南致过敏性休克1例  

A case report of allergic shock caused by aztreonam

作　　者：李士华[1] 赵建芹[1] 

机构地区：[1]济南军区总医院急诊科,济南250031

出　　处：《临床急诊杂志》2013年第2期85-86,共2页Journal of Clinical Emergency

摘　　要：患者,女,20岁。因＂咳嗽、咳痰5 d＂来急诊。既往有青霉素和头孢菌素类过敏史。体检：体温38.3℃,心率87次/min,呼吸16次/min,血压120/80mmHg（1mmHg=0.133kPa）,咽部充血,双肺呼吸音粗,可闻及湿啰音,心腹查体无明显异常,胸片示双肺中内带纹理增强紊乱,以右下肺明显。A twenty years old female patient came to emergency department because of cough and expectora- tion in the past five days. It was the examination results that T 38.3℃ ,P 87 beats per minute,R 16 beats per mi- nute,BP 120/80mmHg. Her throat was congested. The doctor could hear the moist rales over the lung. The chest radiograph showed double lung with enhanced texture disorders,especially in the right lower lung. She was diag- nosed with acute bronchitis. She was given the aztreonam intravenous infusion. She suddenly felt difficulty hreath- ing,chest tightness,labored breathing. The nurse couldn＇t measure her blood pressure. Doctors heard her double lung full of wet rales,wheezing sound. She was diagnosed with allergic shock caused by aztreonam. She was intra- muscular injection of epinephrine hydrochloride and other treatment,and then fully restored.

关 键 词：氨曲南 过敏性休克 盐酸肾上腺素 

分 类 号：R441.9[医药卫生—诊断学]