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患者男,58岁。入院诊断:①症状性癲痫:大发作、局限运动性发作。②左侧大脑中动脉血栓形成。患者既往无药物过敏史,亦未用过细胞色素C。入院当天在一切治疗措施实施前给行细胞色素C过敏试验,皮试完1分钟多,患者即出现一系列休克表现,在及时抗过敏性休克抢救下,10分钟后心跳停止,继之呼吸停止死亡。临床应用细胞色素C引起过敏性休克在国内已有不少报道,但首次接受细胞色素C皮试引起过敏性休克致死亡者则尚未见记载,要引起注意。
Male patient, 58 years old. Admission diagnosis: ① Symptomatic epilepsy: a large attack, localized motor attacks. ② left middle cerebral artery thrombosis. In the past, there was no history of drug allergy in patients with cytochrome C. On the day of admission, before the implementation of all treatment measures to cytochrome C allergy test, skin test finished more than 1 minute, the patient showed a series of shock performance in a timely anti-anaphylactic shock rescue, 10 minutes after the heartbeat stopped, followed by breathing stopped death. Clinical application of cytochrome C-induced anaphylactic shock has been reported in many domestic, but for the first time to accept cytochrome C skin test caused by anaphylactic shock have not been documented, to attract attention.