文章摘要
注射用六氟化硫微泡致过敏性休克一例
A case of anaphylactic shock caused by sulfur hexafluoride microbubbles for injection
投稿时间:2022-09-29  修订日期:2023-07-04
DOI:
中文关键词: 六氟化硫微泡  过敏性休克  药物相关副作用和不良反应
英文关键词: Sulfur hexafluoride microbubbles  Anaphylactic shock  Drug-related side effect and adverse reactions
基金项目:
作者单位邮编
彭宇辉 解放军总医院第五医学中心肝病医学部肝病科 100039
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超声科 
李晨* 解放军总医院第五医学中心肝病医学部肝病科 100039
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中文摘要:
      1例59岁男性乙型肝炎肝硬化患者,因明确肝占位病变性质行肝脏超声造影检查,静推注射用六氟化硫微泡后约20s,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,38min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:
      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 20s 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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