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输液反应临床常见,对其防治过去多选用异丙嗪、地塞米松.近年来,国内外许多资料研究证实一些老药对输液反应也有较好的防治效果.现简述如下:1 654—2 文献报道654—2是目前防治输液反应的理想药物.预防时可采用10～20mg·kg~(-1)iv,必要时可重复(青光眼患者忌用).有人治疗29例,均在注射5～20min症状消失.2 阿托品 该药可解除血管痉挛,改善微循环.有人报道当患者反应出现后,均不停止输液,亦不减慢速度,在胶皮管接口处静注阿托品1mg,治疗18例全部有效,均在3～5min内缓解,发热亦随之逐渐下降.3 利他林 反应出现后,立即停止输液,用利他林5～10mg加入0.56mol.L~(-1)(10％)GS20ml中缓慢iv。有人治疗50例,47例效果显著。3例无效。
In recent years, many domestic and foreign data research confirmed that some of the old drugs have a better prevention and treatment of infusion reactions are now as follows: 1 654-2 Reported in the literature 654-2 is the ideal drug infusion prevention and treatment of prophylaxis can be used 10 ~ 20mg · kg ~ (-1) iv, repeatable if necessary (glaucoma patients hanged.) Some treatment of 29 cases were injected 5 ~ 20min symptoms disappear.2 Atropine drug to relieve vasospasm and improve microcirculation.It was reported when the patient reaction appears, did not stop the infusion, nor slow down, at the rubber tube interface intravenous atropine 1mg, the treatment of 18 cases All effective, are ease within 3 ~ 5min, fever will also be gradually decreased.3 After the emergence of ritalin reaction, stop infusion, with Ritalin 5 ~ 10mg added 0.56mol.L -1 (10%) GS20ml Slowly iv. Some people treated 50 cases, 47 cases of significant effect. 3 cases invalid.