中国药物应用与监测
中國藥物應用與鑑測
중국약물응용여감측
CHINESE JOURNAL OF DRUG APPLICATION AND MONITORING
2014年
5期
327-328
,共2页
孕妇%复方右旋糖酐40注射液%过敏性休克%药品不良反应
孕婦%複方右鏇糖酐40註射液%過敏性休剋%藥品不良反應
잉부%복방우선당항40주사액%과민성휴극%약품불량반응
Pregnant women%Compound dextran 40 injection%Anaphylactic shock%Adverse drug reaction
1例28岁孕妇,孕39+6周,因羊水少给予复方右旋糖酐40注射液500 mL静脉滴注,输注5 min后患者出现全身皮肤发红、皮疹,意识清楚,对答切题,口唇发绀,桡动脉未扪及搏动,血压未检测到。立即停止用该药,并给予吸氧、升压、抗过敏、抗休克等对症治疗,90 min后该患者上述症状缓解,但胎死宫内。6 d后患者一般情况良好,生命体征平稳无并发症,予以出院。
1例28歲孕婦,孕39+6週,因羊水少給予複方右鏇糖酐40註射液500 mL靜脈滴註,輸註5 min後患者齣現全身皮膚髮紅、皮疹,意識清楚,對答切題,口脣髮紺,橈動脈未捫及搏動,血壓未檢測到。立即停止用該藥,併給予吸氧、升壓、抗過敏、抗休剋等對癥治療,90 min後該患者上述癥狀緩解,但胎死宮內。6 d後患者一般情況良好,生命體徵平穩無併髮癥,予以齣院。
1례28세잉부,잉39+6주,인양수소급여복방우선당항40주사액500 mL정맥적주,수주5 min후환자출현전신피부발홍、피진,의식청초,대답절제,구진발감,뇨동맥미문급박동,혈압미검측도。립즉정지용해약,병급여흡양、승압、항과민、항휴극등대증치료,90 min후해환자상술증상완해,단태사궁내。6 d후환자일반정황량호,생명체정평은무병발증,여이출원。
One 28-year-old pregnant woman who was at 39+6 weeks of gestation, received the intravenous drip of compound dextran 40 injection 500 mL because of oligohydramnios. After 5 minutes, the patient developed systemic skin redness, rash, oral cyanosis. The radial artery pulse and blood pressure could not be detected, while the patient could answer questions with clear consciousness. The compound dextran 40 injection was stopped immediately, and the patient received symptomatic treatments, including oxygen inhalation, boosting pressure, antiallergic and antishock treatment. About 90 minutes later, the symptoms of the patient relieved, but the fetus died in intrauterine. After 6 days, the general condition of the patient was well, vital signs were stable with no complications, and the patient discharged from hospital.