注射用尤瑞克林致感觉异常并过敏性休克1例

1例65岁女性患者,因左手无力、麻木1 d入院,诊断为脑梗死急性期.入院第1天给予注射用尤瑞克林改善循环,约2 min后患者出现喉头水肿、唇感觉异常并过敏性休克症状,立即停用该药,同时给予注射用甲泼尼龙40 mg静脉注射,地塞米松磷酸钠注射液5 mg肌肉注射,并半坐卧位10 L·min-1面罩吸氧.约30 min后症状...

One case of paresthesia with anaphylactic shock induced by urinary kallidinogenase for injection

A 65-year-old female patient was admitted to the hospital due to weakness and numbness of left hand for 1 day and was diagnosed as acute cerebral infarction.On the first day of admission,urinary kallidinogenase for injection was given to her for improving blood circulation.About 2 minutes later,she developed laryngeal edema,lip paresthesia and anaphylactic shock.Urinary kallidinogenase for injection was stopped immediately.And intravenous injection of methylprednisolone 40 mg and intramuscular injection of dexamethasone sodium phosphate 5 mg were given to her at the same time.She was in semireclining position with mask oxygen inhalation of 10 L·min^-1.After about 30 minutes,the symptoms gradually relieved and there were no similar symptoms thereafter.She was discharged with stable condition.