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1 病例报告患者男,19岁。1999—01—11 10:00,在我院接种流行性乙型脑炎灭活疫苗1.0ml,注射后约10min,自觉口唇麻木,呼吸困难,心慌胸闷,全身瘙痒、无力,不能自持。查体:表情淡漠,面色苍白,口唇紫绀,全身大汗,四肢湿冷,呼吸急促,血压测不到,心率143/min,律尚齐,双肺呼吸音清晰,未闻及干、湿啰音,腹部未见异常体征,神经反射正常。诊断:流行性乙型脑炎灭活疫苗所致过敏性休克。迅速送急救室抢救,予以平卧、吸氧,肌注肾上腺素1.0mg、异丙嗪25mg,建立静脉通道,以10%葡萄糖注射液500ml+多巴胺20mg+地塞米松
1 case report Patient male, 19 years old. 1999-01-11 10:00, in our hospital vaccination of Japanese encephalitis inactivated vaccine 1.0ml, about 10min after injection, conscious lips numbness, breathing difficulties, palpitation chest tightness, systemic itching, weakness, can not self-sustaining. Examination: indifference, pale, lips cyanosis, sweating, limbs cold, shortness of breath, blood pressure can not be measured, heart rate 143 / min, the law is still Qi, lungs breath sounds clear, unheard-of and dry, wet rales Abdominal abnormal signs, reflex normal. Diagnosis: Japanese encephalitis inactivated vaccine induced anaphylactic shock. Quickly sent to the emergency room for rescue, to supine, oxygen, intramuscular injection of epinephrine 1.0mg, promethazine 25mg, intravenous access to 10% glucose injection 500ml + dopamine 20mg + dexamethasone