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我院遇1例因肌注卡那霉素致过敏性休克,经抢救获愈,现报告如下。患儿,男,5岁。因咳嗽伴发热3天在某卫生室诊为急性支气管炎,第二次肌注卡那霉素0.25g,15分钟后患者呕吐、意识不清、呼吸困难,即肌注肾上腺素0.5mg后送本院门诊抢救。患者以往无药物过敏史。体检:T37.4℃,P126次/分,R10次/分,BP78/40mmHg。神志不清,紫绀,全身抽搐。诊断为卡那霉素致过敏性休克,给予肾上腺素0.5mg肌注,10％葡萄糖液10ml加地塞米松5mg及10％葡萄糖液10
I case of a hospital due to intramuscular injection of kanamycin-induced anaphylactic shock, the rescue was cured, are as follows. Children, male, 5 years old. 3 days due to cough with fever in a clinics for acute bronchitis, the second intramuscular injection of kanamycin 0.25g, 15 minutes after the patient vomiting, unconsciousness, dyspnea, intramuscular epinephrine 0.5mg evacuation Hospital outpatient rescue. In the past, patients had no history of drug allergy. Physical examination: T37.4 ℃, P126 times / min, R10 beats / min, BP78 / 40mmHg. Confusion, cyanosis, convulsions. Diagnosis of kanamycin-induced anaphylactic shock, intramuscular injection of 0.5mg epinephrine, 10% glucose solution 10ml plus dexamethasone 5mg and 10% glucose solution 10