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刺五加广泛用于心脑血管疾病的治疗,疗效确切且无毒副作用。在临床上引起过敏反应较为罕见,易被误诊,现将我院发生的静脉输入刺五加致过敏反应1例报道如下。患者男,52岁,以“间断性头晕胸闷一周余”为主诉入院。入院后诊断心肌下壁供血不足。在静脉滴注5%葡萄糖250毫升加刺五加40毫升约10分钟后,患者出现烦躁、胸闷加剧、呼吸急促、大汗,立即吸氧,调整滴速每分钟20滴。密切观察病情变化,见沿血管走行局部皮肤发红,病人诉有痒感,分析为刺五加过敏所致。立即停输液并地塞米松10毫克静推,异丙嗪50毫克
Acanthopanax widely used in the treatment of cardiovascular and cerebrovascular diseases, the exact effect and non-toxic side effects. Allergic reactions in the clinic is relatively rare, easily misdiagnosed, now our hospital intravenous acanthopanax allergy caused by 1 case reported as follows. Male patient, 52 years old, with “intermittent dizziness, chest tightness, more than a week,” the main complaint was admitted. After myocardial infarction diagnosis of inferior wall. After intravenous instillation of 5% glucose 250 ml plus Acanthopanax 40 ml for about 10 minutes, the patient developed irritability, increased chest tightness, shortness of breath, sweating, and immediate oxygen inhalation. Adjust drip rate to 20 drops per minute. Closely observe the changes in the condition, see running along the blood vessels local redness, the patient complained itching, analysis of Acanthopanax allergic due. Immediate infusion and dexamethasone 10 mg static push, promethazine 50 mg