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207例药源性过敏性休克分析
Analysis of 207 Reports of Drug induced Anaphylactic Shock
  
DOI:
中文关键词:  药品不良反应  过敏性休克  回顾性分析
英文关键词:Adverse drug reaction  Anaphylactic shock  Retrospective analysis
基金项目:
作者单位
孙旌文 ①阜阳市食品药品医疗器械不良反应/事件监测中心(安徽阜阳236029) 
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中文摘要:
      摘 要 目的: 分析药源性过敏性休克发生的一般规律及抢救措施,为临床安全用药提供参考。方法:对阜阳市药品不良反应监测中心2011~2014年收到的207例过敏性休克病例报告,按照患者性别、年龄、过敏性休克发生时间、给药途径、怀疑药品、抢救药物和过敏性休克转归等情况进行回顾性分析。结果:导致过敏性休克的可疑药物中,抗微生物药、中药注射剂、血液系统药构成比居前3位;静脉用药所占比例最高(91.3%);过敏性休克大多数发生在用药后20 min内,占84.5%。结论:临床应重视药源性过敏性休克的发生,用药前询问过敏史,严格掌握用药指征,注意用药全程的监护,一旦出现不良反应及时停药,并采取适当措施予以对症抢救治疗。
英文摘要:
      ABSTRACT Objective:To analyze the general regularity and rescue measures of the drug induced anaphylactic shock,provide references for clinical safe use of medicine.Methods:207 reports of anaphylactic shock in Fuyang center for food medical devices adverse drug reaction/events monitoring from 2011 to 2014,were retrospective analyzed in terms of genders and ages, shock time, route of medication, suspected drug, first aid drugs, and anaphylactic shock outcome.Results:Anti microbial drugs,Traditional Chinese Medicine injections and blood system drugs were the top three position.The constituent ratio of intravenous drug was the highest,accounting for 91.3%.The majority of anaphylactic shock occurred within 20 minutes after administration,accounting for 84.5%. Conclusion:The clinical should pay attention to drug induced anaphylactic shock,strict indications medication,strengthen the guardianship medication.
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