摘要
1例63a男性患者,因慢性浅表性胃炎给予注射用奥美拉唑钠40mg+5%葡萄糖氯化钠注射液100mL,在静脉滴注约10min后,患者头面部及四肢出现皮肤瘙痒、胸部不适、面色苍白、意识模糊,BP50/30mmHg,HR50次·min-1,考虑为过敏性休克,立即停药,给予吸氧及多巴胺、阿托品、地塞米松治疗,10min后,患者神志转清,症状逐渐好转。
A 63-year-old man received 40 mg of omeprazole mixed in 100 mL of 5% sodium chloride and dextrose injection by intravenous infusion for the treatment of chronic superfi cial gastritis.About 10 minutes after initiation of the infusion,he developed pruritus in face,head,arms and legs,chest discomfort,pallor,confusion,with blood pressure of 50/30 mmHg and heart rate of 50 beats per minute,which accorded with the symptoms of anaphylactic shock.The infusion was stopped immediately.Oxygen inhalation and such medicines as dopamine,atropine and dexamethasone were given,then the patient recovered consciousness and the symptoms improved after 10 minutes.
出处
《中国药物应用与监测》
CAS
2010年第3期187-188,共2页
Chinese Journal of Drug Application and Monitoring
关键词
奥美拉唑
过敏性休克
不良反应
Omeprazole
Anaphylactic shock
Adverse reaction