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1 病例报告 患者男,60岁、在头昏、经脑血流图检查,确诊为中度脑动脉硬化,于1999年11月2日入院。入院后给予5％葡萄糖注射液250ml、丹参8ml、维脑路通8ml、三磷酸腺苷4.0mg、辅酶A200μ、维生素C5.0g、胞二磷胆碱0.5g、每日1次静点。用药15min后,患者自觉胃部不适,面部出现大风疹块。立即停药,遵医嘱给予异丙嗪25mg立即肌注。2-3h后丘疹渐渐消退。于是停用维脑路通,其他药照常静点,未出现异常。医生详细询问病史,该患者去年注射维脑时,面部也出现荨麻疹。故考虑为维脑路通注射液引起的速发型超敏反应。
A case report Male, 60 years old, drowsy, diagnosed as moderate cerebral arteriosclerosis by cerebral blood flow diagram, was admitted on November 2, 1999. After admission to give 5% glucose injection 250ml, Salvia 8ml, Venoruton 8ml, adenosine triphosphate 4.0mg, coenzyme A200μ, vitamin C5.0g, citicoline 0.5g, 1 times a day static. 15min after treatment, the patient conscious stomach upset, facial rash mass. Immediate withdrawal, given prescribed promethazine 25mg immediate intramuscular injection. After 2-3h pimples gradually subsided. So stop using Venoruton, other medicine often static point, there is no exception. The doctor asked about his medical history in detail. When the patient injected the vitiligo last year, the patient also developed urticaria on his face. It is considered as Venoruton injection-induced immediate hypersensitivity reaction.