CAJ | 학술논문

目的：探讨2例肝脓肿患者静脉滴注维生素K1后发生过敏性休克的护理体会。方法选择我院诊断为肝脓肿患者2例,均给予0.9%生理盐水100ml+维生素K130mg静脉滴注,患者均出现不同症状的过敏性休克,及时给予相应治疗后症状缓解,生命体征平稳。同时分析滴注维生素K1致过敏性休克的原因,并给予用药指导。结果两例患者给予地塞米松5mg静脉推注,心电监护等措施后,30min后患者面色好转,呼吸平稳,症状缓解,病情1h无特殊变化。结论维生素K1注射液在使用过程中应注意密切观察患者体征,及时做好过敏性休克的防止措施,防止不良反应发生。
목적：탐토2례간농종환자정맥적주유생소K1후발생과민성휴극적호리체회。방법선택아원진단위간농종환자2례,균급여0.9%생리염수100ml+유생소K130mg정맥적주,환자균출현불동증상적과민성휴극,급시급여상응치료후증상완해,생명체정평은。동시분석적주유생소K1치과민성휴극적원인,병급여용약지도。결과량례환자급여지새미송5mg정맥추주,심전감호등조시후,30min후환자면색호전,호흡평은,증상완해,병정1h무특수변화。결론유생소K1주사액재사용과정중응주의밀절관찰환자체정,급시주호과민성휴극적방지조시,방지불량반응발생。
Objective To explore the nursing experience of 2 cases liver abscess patients with anaphylactic shock caused by intravenous drip vitamin K1. Methods 2 cases liver abscess diagnosed in our hospital were selected, and patients were given 0.9% saline 100 ml + vitamin K1 30 mg intravenous drip, after treatment, the patients happened to dif erent symptoms of anaphylactic shock, and both were given cor esponding treatment in time, stable vital signs. At the same time, the author analyzes the reasons of drip vitamin K1 to anaphylactic shock, and giving guidelines. Results Two patients were given 5 mg dexamethasone intravenous injection, ecg monitoring measures, after 30 minutes, patient's symptoms was improved, presenting smooth breathing, there is no special change condition for 1 hour. Conclusion Vitamin K1 injection in using process, we should pay at ention to closely monitor patients with signs, completes promptly anaphylactic shock prevention measures to prevent adverse reactions occur.