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1 病例分析患者,女,60岁。诊断:胃癌晚期,给予 CO-A100u,V-B_60.2g,10％氯化钾10ml 加入10％糖500ml 静滴,约5分钟后,患者感咽部发热,胸闷,继之烦躁不安,全身皮肤发红,以颜面为甚,严重呼吸困难,端坐呼吸,强烈恐惧。查体:12/8kPa,脉搏110次/分,心率110次/分,律齐,未闻及杂音,双肺可闻及哮鸣音及干湿性罗音,意识清醒,考虑为 CO-A 过敏,立即停止该组药物输入,更换10％葡萄糖500ml+氨茶硷0.25g 静滴,给予高流量吸氧,非那根25mg 肌注,地米10mg 静推,让病人保持安静,约20分钟后症状缓解,呼吸平
A case analysis of patients, female, 60 years old. Diagnosis: advanced gastric cancer, given CO-A100u, V-B_60.2g, 10% potassium chloride 10ml added 10% sugar 500ml intravenous infusion, about 5 minutes later, the patient throat fever, chest tightness, followed by irritability, systemic skin Redness, the face is very serious, severe breathing difficulties, sitting and breathing, a strong fear. Physical examination: 12 / 8kPa, pulse 110 beats / min, heart rate 110 beats / min, law Qi, no smell and noise, lungs can be heard wheeze and dry and wet rales, conscious, consider CO-A Allergy, immediately stop the group of drug input, replace 10% glucose 500ml + 0.25g intravenous aminophylline, given high-flow oxygen, not that root 25mg intramuscular injection, ground 10mg static push, so that patients remain quiet, about 20 minutes later Symptoms, breathing flat