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樱方岑主编、孔庆德等编委: 您们修订、最近出版的《医疗护理技术操作常规》(简称《常规》)第三版I_3页上提出的“碘过敏反应可疑者,应重做过敏试验”的观点,我们认为应当修改。因我们曾在《中华内科杂志》1985年第5期上报道了《胆影葡胺静注胆囊造影过敏反应5例的报告》一文,其中重度过敏反应2例,休克1例,重做过敏试验时死亡1例。 患者女性,49岁,以右上腹反复疼痛5个月入我院外科。曾于他院口服碘番酸行胆囊造影疑为胆石症,于1984年5月28日静注30％胆影葡胺1ml,病人即感头昏,片刻缓解。病人强烈要求重做过敏试验,当时《常规》第二版规定“碘过敏反应可疑者,应重做过敏试验”,故于次日8点25分在放射科再次静注30％胆影葡胺。注入0.5ml后病人喊:“我难受”,随即抽搐、呼吸困难。立即停药,肌注肾上腺素1mg,异丙嗪、
Edited by Sakhyong Fong and Kong Qingde, editors: You revised and recently published “Medical Nursing Techniques” (referred to as “conventional”) third edition I_3 page proposed “suspicious persons with allergic reactions to iodine should be re-allergy test ”Point of view, we think it should be amended. Because we have in the “Medical Journal of China” in 1985 No. 5 reported a “report of gallbladder amidine intravenous cholecystal in 5 cases of allergic reactions,” one of 2 cases of severe allergic reactions, shock in 1 case, redo anaphylaxis test 1 case of death. Female patients, 49 years old, with repeated pain in the right upper quadrant of 5 months into our hospital surgery. Had in his hospital oral ipseanoic acid cholecystolithiasis suspected gallstone disease, on May 28, 1984 intravenous injection of 30% bile meglumine 1ml, the patient is feeling dizzy, a moment to ease. The patient strongly demanded to redo the allergy test. At that time, the second edition of the “General Practice” stipulated that “the suspected allergic iodine reaction should be redone for allergy test”. Therefore, at 8:25 of the next day, intravenous injection of 30% . After injection of 0.5ml patients shouted: “I am uncomfortable”, then convulsions, breathing difficulties. Immediate withdrawal, intramuscular injection of epinephrine 1mg, promethazine,