文章摘要
超声造影剂注射用六氟化硫微泡致过敏性休克1例
A case of anaphylactic shock caused by ultrasound contrast agent sulfur hexafluoride microbubbles for injection
  
DOI:10.3969/j.issn.1007-8134.2023.03.017
中文关键词: 乙型肝炎肝硬化  肝占位性病变  诊断  六氟化硫微泡  临床表现  过敏性休克  药物相关副作用和不良反应
英文关键词: Hepatitis B cirrhosis  space occupying lesion of liver  diagnosis  sulfur hexafluoride microbubbles  clinical manifestation  anaphylactic shock  drug-related side effect and adverse reactions
基金项目:
作者单位
彭宇辉 解放军总医院第五医学中心肝病医学部肝病科 
苏海滨 解放军总医院第五医学中心肝病医学部肝病科 
冯?卉 解放军总医院第五医学中心心超声科 
赵?乐 太原山西医科大学第一医院妇科 
李?晨 解放军总医院第五医学中心肝病医学部肝病科 
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中文摘要:
      [摘要]?1例59岁男性乙型肝炎肝硬化患者为明确肝占位性病变性质行肝脏超声造影检查,静脉推注六氟化硫微泡约20 s后,患者出现表情淡漠、焦躁不安、血压下降、乳酸增高等表现,考虑为造影剂导致的过敏性休克。立即停用该药,迅速给予抗过敏、抗休克、补液、扩容等治疗,38 min后患者过敏性休克症状明显缓解,生命体征恢复正常。
英文摘要:
      [Abstract]?To clarify the nature of the hepatic space-occupying lesions, a 59-year-old male patient with hepatitis B virus related cirrhosis underwent liver contrast-enhanced ultrasonography. About 20 s after intravenous injection of sulfur hexafluoride microbubbles, the patient showed apathy, restlessness, decreased blood pressure and increased lactic acid, which was considered to be anaphylactic shock caused by contrast agents. We stop the drug immediately, and give anti-allergy, anti-shock, fluid replacement and volume expansion treatments quickly. After 38 minutes, the symptoms of anaphylactic shock of the patient were significantly relieved, and his vital signs returned to normal.
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