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我们自1981～1983年,共遇8例输液反应,实属热原致敏反应,均在早期肌注地塞米松救治成功,无1例发生休克。地塞米松肌注方法简便,无不良反应,但应力争早期应用。另外无论基层还是医院均可施行,故报告如下。典型病例例1 张某,女,10个月。主要因咳嗽、气喘、伴面部及口唇发绀10天,于1983年9月8日由地方医院转入。诊断:先天性心脏病、支气管肺炎伴心衰。给予吸氧,青、链霉素抗感染。9月10日予10%葡萄糖150ml、红霉素0.25g、氢化可的松25mg、毒毛旋花子甙K0.08mg静脉点滴。当输液约60ml时,患儿哭闹不安,面部及口唇发绀明显,继之寒战。查体温正常,脉搏细弱,每分钟186次,诊断为输液反应。
We from 1981 to 1983, a total of 8 cases of infusion reaction, it is pyrogenic sensitization, are successful in the early intramuscular dexamethasone treatment, no case of shock occurred in 1 case. Dexamethasone intramuscular injection method is simple, no adverse reactions, but should strive for early application. In addition, both grass-roots or hospitals can be implemented, so the report is as follows. Case of a typical case Zhang, female, 10 months. Mainly due to cough, asthma, with facial and lips cyanosis for 10 days, on September 8, 1983 transferred from the local hospital. Diagnosis: Congenital heart disease, bronchial pneumonia with heart failure. Give oxygen, green, streptomycin anti-infection. September 10 to 10% glucose 150ml, erythromycin 0.25g, hydrocortisone 25mg, Poisonous hair spinosad K0.08mg intravenous drip. When transfusion of about 60ml, children crying uneasy, facial and lip cyanosis was obvious, followed by chills. Check the body temperature normal, weak pulse, 186 times per minute, diagnosed as infusion reaction.