论文部分内容阅读
1例82岁男性不完全肠梗阻患者因行腹部增强CT检查静脉注射碘海醇注射液70 ml和生理盐水30 ml,注射5 min患者即出现意识不清、大汗、呼吸急促、血压降低。立即停药,静脉注射地塞米松、肾上腺素,静脉滴注多巴胺、碳酸氢钠,吸氧,静脉注射尼可刹米、山梗菜碱、阿托品,持续胸外心脏按压,患者终因抢救无效死亡。尸检见会厌及咽喉水肿,未见肠扭转、肠套叠以及肠坏死等病理学改变。组织病理学检查结果示咽喉、食管、肝、肺及肠组织出现嗜酸粒细胞浸润,提示患者可能死于碘海醇过敏。
A case of 82-year-old male with incomplete intestinal obstruction due to abdominal enhanced CT examination of intravenous injection of iohexol 70 ml and saline 30 ml, 5 min injection patients were unconscious, sweating, shortness of breath, blood pressure. Immediate withdrawal, intravenous injection of dexamethasone, epinephrine, intravenous infusion of dopamine, sodium bicarbonate, oxygen, intravenous injection of nikethamide, lobotine, atropine, continuous chest compression, patients died due to ineffective rescue . Autopsy see epiglottis and throat edema, no intestinal torsion, intussusception and intestinal necrosis and other pathological changes. Histopathological findings showed that throat, esophagus, liver, lung and intestinal tissue eosinophil infiltration, suggesting that patients may die of iohexol allergy.