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患有喘儿童肌内注射德克萨米他的立即过敏过敏反应 (过敏性休克):一个病例报告
Rashid Mahrous1, Wafaa Mahrous2, M Mahrous3
1Faculty of Medicine, Menoufia University, Menoufia, Egypt. Rasheed.ashraf141@med.menofia.edu.eg.
Journal of medical case reports
|October 14, 2025
概括
严重的皮质类固醇过敏反应,如甲,可以发生并导致危及生命的过敏反应. 及时识别和管理皮质类固醇过敏症对于患者的安全至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 过敏和免疫学 过敏和免疫学
- 药理学 药理学是指药理学的学科.
背景情况:
- 葡萄糖皮质类药物是具有免疫抑制和抗炎作用的重要治疗药物.
- 对皮质类固醇的过敏反应可能很罕见,但很严重,可能导致误诊.
- 识别皮质类固醇过敏对于患者的安全至关重要.
研究的目的:
- 为了突出严重的皮质类固醇过敏反应的可能性.
- 强调识别和管理皮质类固醇过敏症的重要性.
- 在喘患者服用德克萨米他后呈现过敏反应的情况.
主要方法:
- 一个5岁的喘患者出现严重症状的案例研究.
- 肌肉内注射德克萨米他导致过敏反应的迅速发作.
- 立即紧急治疗,包括上腺素,氧化剂和抗组胺药物.
主要成果:
- 患者经历了严重的过敏反应,包括脱后的皮疹,血管和过敏性休克.
- 患者在迅速医疗干预后稳定,使用上腺素和支持性护理.
- 与临床药剂师讨论了替代治疗选择.
结论:
- 类固醇诱导的过敏反应虽然不常见,但可以表现为危及生命的过敏反应.
- 这一案例强调了对皮质类固醇过敏的警的必要性.
- 早期识别和适当管理对于对葡萄皮质激素药物不良反应至关重要.
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