论文部分内容阅读
1病例报告患者男,19岁。新兵。正常计划免疫左上臂皮下接种麻腮风联合减毒活疫苗(上海生物制品研究所有限责任公司生产)0.5ml。约5min后,突感眼部不适,继而双眼睑肿胀,心悸,胸闷,呼吸困难,大汗,寒战。查体:体温37℃,脉搏130/min,呼吸25次/min,血压135/90mmHg;神志清,面色苍白,四肢厥冷,双肺可闻及哮鸣音,心音弱,律齐,无杂音。左上肢注射部位肿胀,可见3.5cm×3.5cm的丘疹,四肢有少量的荨麻疹样皮疹。急查心电图示窦性心动过速。考虑为麻腮风联合减毒活疫苗过敏所致变态反应。立即给予高流量吸氧,保暖,皮下注射肾上腺素0.5mg,肌内注射盐酸异丙嗪50 mg及地塞米松磷酸钠注
1 case report Patient male, 19 years old. Recruits. Normal program immunization of the upper left arm subcutaneously administered with MMR combined live attenuated vaccine (Shanghai Institute of Biological Products Co., Ltd. production) 0.5ml. About 5min, sudden sensation eye discomfort, followed by double eyelid swelling, palpitations, chest tightness, difficulty breathing, sweating, chills. Physical examination: body temperature 37 ℃, pulse 130 / min, breathing 25 times / min, blood pressure 135 / 90mmHg; clear mind, pale, extremities Jueleng, lungs can be heard and wheeze, weak heart, . Left upper extremity injection site swelling, showing 3.5cm × 3.5cm papules, limbs with a small amount of urticaria-like rash. Urgent ECG ECG sinus tachycardia. Consider allergic reactions to allergic reactions to live attenuated live vaccine combined with marijuana. Immediately give high-flow oxygen, warm, subcutaneous injection of epinephrine 0.5mg, intramuscular injection of promethazine hydrochloride 50 mg and dexamethasone sodium phosphate injection