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患儿男性,1(1/2)岁。洗澡后使用花露水爽身,即速发生周身性荨麻疹,出疹顺序:颌颈→胸背→四肢。当时患儿烦燥不安,用手搔抓周身,随即到我队就诊。经使用抗组织胺药后,上述症状、体征很快消失.当时未引起患儿父母介意,未查出任何致敏因素。第三天再次使用花露水爽身,患儿再次发生荨麻疹。丘疹大小不等,以胸背部为著;首先烦燥不安,10分钟后发生休克。诊断:使用花露水致荨麻疹性过敏性休克。即速使用0.1%肾上腺素、氟美松及扑尔敏等抗组织胺药。一小时后上述症状缓解,约两小时后症状及体征消失,未留任何后遗症。
Male children, 1 (1/2) years old. Shower gel after use toilet water body, rapid onset of urticaria, rash order: jaw neck → chest and back → limbs. At that time, children with irritability, hand scratching the whole body, then to my team for treatment. After the use of antihistamines, the above symptoms and signs disappeared quickly when did not cause children’s parents mind, did not detect any sensitizing factors. The third day again to use toilet water to cool, children with urticaria again. Pimples vary in size from chest to back; first irritable, shocking occurs after 10 minutes. Diagnosis: Urticaria-induced anaphylactic shock with toilet water. Immediate use of 0.1% epinephrine, dexamethasone and chlorpheniramine and other antihistamines. After an hour to alleviate the symptoms, about two hours after the symptoms and signs disappeared, leaving no sequelae.