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去年2例疤痕切除愈后,切口下注射去炎松-A(kenacort-A)出现严重过敏反应。现报告如下: 病例报告例1:李××,女,18岁,一向健康。胸前疤痕疙瘩切除愈后2周,为防疤痕过长而在切口下及疤痕内注射去炎松-A40毫克,加1％普鲁卡因2毫升。20分钟后诉心悸、胸闷,全身微汗。问知未吃早餐。令静卧,饮热开水一杯。休息约10分钟不适。嘱1月后复查。复查后按第一次方法注药。15分钟后即出现面部潮红、心悸、胸翳、轻度气促、全身出冷汗。急查见心律整,心率125次/分、血压80/60、呼吸26次/分、神清、对答切题流利。诊为轻型普鲁卡因过敏,即皮下注射肾上腺素1毫克,静脉推
Last year, 2 cases of scar resection, the incision injection to the inflammation - A (kenacort-A) serious allergic reaction. The report is as follows: Case report Example 1: Lee × ×, female, 18 years old, has always been healthy. Chest keloid resection of the more after 2 weeks, in order to prevent the long scar in the incision and scar injection of triamcinolone-A40 mg, plus 1% procaine 2 ml. 20 minutes later complain heart palpitations, chest tightness, body sweat. Ask did not eat breakfast. Let sit still, drink a cup of hot water. Rest for about 10 minutes discomfort. Will check after January review. After the review by the first injection method. After 15 minutes facial flushing, palpitations, chest tightness, mild shortness of breath, body sweat. Urgent See the whole heart rhythm, heart rate 125 beats / min, blood pressure 80/60, breathing 26 beats / min, Shen Qing, fluent in answers. The diagnosis of light procaine allergy, that is, subcutaneous injection of 1 mg of epinephrine, intravenous push