1例胸痛患者使用碘造影剂后出现严重药物不良反应的案例分析  

A case study of severe adverse reactions in a patient with chest pain after using iodine contrast agent

作　　者：郭晓红 刘颖 李咏[2] GUO Xiao-hong;LIU Ying;LI Yong(Wuhan Jinyintan ttospital,Wuhan 430023,China;National Training Base for Clinical Pharmacists,Wuhan Puai Hospital,Wuhan 430032,China)

机构地区：[1]武汉市金银潭医院,武汉430023 [2]武汉市普爱医院国家临床药师培训基地,武汉430032

出　　处：《中国临床药理学杂志》2018年第24期2870-2872,共3页The Chinese Journal of Clinical Pharmacology

摘　　要：目的分析碘造影剂引发过敏反应与不适,为临床防治提供参考。方法患者因胸闷胸痛十余天使用碘造影剂进行冠状动脉造影后出现呼吸不畅,颜面部水肿等严重过敏反应,分析该表现与用药的相关性。结果该临床表现很可能为碘造影剂引发严重药物不良反应。结论碘造影剂过敏症状在临床中虽然少见,但在临床用药中应注意个体差异。早期预防和正确处理是减少严重药物不良反应的关键。Objective Analyze the allergic reaction and discomfort caused by iodine contrast agent to provide reference for clinical prevention and treatment.Methods A patient with chest tightness and chest pain for more than ten days after using iodography for coronary angiography suffered respiratory dyspnea,facial edema,and other allergic reactions,and the correlation between this performance and the drug use was analyzed.Results This clinical manifestation is likely to cause adverse drug reactions caused by iodine contrast agents.Conclusion Although the symptoms of iodine contrast agent allergy are rare in clinical practice, individual differences should be noted in clinical medication.Early prevention and proper management are key to reducing severe adverse reactions.

关 键 词：药物不良反应 碘造影剂 过敏反应 

分 类 号：R97[医药卫生—药品]