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利多卡因是应用最广的抗心律失常药物及麻醉剂,公认安全有效,用药后引起过敏性休克者少见。现将我们所遇1例报道如下: 1 临床资料患者女性,24岁,平素体健,无过敏体质及药物过敏史。此次因急性阑尾炎入院手术。入院时查心电图正常,术前用利多卡因作局部麻醉,以正常速度注射260mg,注射后约30 s时患者面色苍白,呼吸急促,血压很快下降至0,随即脉搏消失,心音听不到。立即行胸外心脏按压、给氧、心内注射三联针(去甲肾上腺素1
Lidocaine is the most widely used antiarrhythmic drugs and anesthetics, is recognized as safe and effective, after treatment caused by anaphylactic shock rare. Now we encounter a case reported as follows: 1 Clinical data Patients Female, 24 years old, usually no health, no allergies and drug allergy history. The admission for acute appendicitis surgery. Electrocardiogram was normal at admission, preoperative lidocaine for local anesthesia, normal speed injection of 260mg, about 30s after injection, the patient pale, shortness of breath, blood pressure quickly dropped to 0, then the pulse disappears, the heart sounds can not hear . Immediate chest compression, oxygen, intracardiac injection of triple needle (norepinephrine 1