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1病例报告患者男,24岁。因训练时不慎致右手外伤来我队就诊。经清创缝合术后,给予破伤风抗毒素(TAT)注射。皮内过敏试验显强阳性,遂采用TAT脱敏注射法,第1次注射完毕后,患者诉略感胸闷,观察30min,待症状缓解后,注射余下3针,每次间隔30min。注射完毕后,患者诉胸闷伴局部瘙痒。查体:头部、颈后及双前臂斑疹、斑丘疹,有抓痕。给予吸氧,口服氯苯那敏、地塞米松及维生素C等对症处理,症状好转后离开。30min后
1 case report patient male, 24 years old. Careless to the right hand because of training trauma to our team for treatment. After debridement, tetanus antitoxin (TAT) injection is given. Intradermal allergy test was significantly positive, then using TAT desensitization injection method, after the first injection, the patient complained of chest tightness, observed 30min, until the symptoms ease, the remaining 3 injection, each interval of 30min. After the injection, the patient complained chest stuffy with local itching. Physical examination: head, neck and double forearm rash, rash, scratches. Give oxygen, oral chlorpheniramine, dexamethasone and vitamin C and other symptomatic treatment, the symptoms improved after leaving. After 30min