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维生素B_(12)主要用于治疗原发性或继发性内因子缺乏所致的巨幼细胞性贫血。注射液只用于肌内注射。中国药典规定肌注或口服。笔者曾遇到因静注维生素B_(12)引起死亡两例。现报道如下。例1,女、35a,因上腹胀痛,食欲不振2mo 余来院就诊。既往有肝炎病史,无药敏史,有维生素B_(12)肌注史。检查:体温36℃,脉搏86次/min,血压13.3/8kPa,血常规Hb 0.9g/L,RBC 3.5×10~(12)/L,WBC 6×10~(9)/L。患者要求次日检验肝功能后治疗。患者回家途中随村诊
Vitamin B_ (12) is mainly used to treat megaloblastic anemia caused by the lack of primary or secondary intrinsic factors. Injection is used only for intramuscular injection. Chinese Pharmacopoeia provides intramuscular or oral. I have encountered two cases of death due to intravenous injection of vitamin B_ (12). Report as follows now. Example 1, female, 35a, due to abdominal pain, loss of appetite 2mo Yu hospital visit. Past history of hepatitis, no history of drug sensitivity, vitamin B_ (12) intramuscular history. Check: temperature 36 ℃, pulse 86 beats / min, blood pressure 13.3 / 8kPa, blood Hb 0.9g / L, RBC 3.5 × 10-12 / L, WBC 6 × 10-9 / L. Patients are asked to test the liver function after the next day treatment. Patients return home with the village clinic