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多次静脉输液后出现严重过敏反应诊治一例

许凤 张莉 张虹婷 石楚琪 贾巧茹 肖浩 孟娟

新医学2024,Vol.55Issue(10):848-852,5.
新医学2024,Vol.55Issue(10):848-852,5.DOI:10.3969/j.issn.0253-9802.2024.10.013

多次静脉输液后出现严重过敏反应诊治一例

A case of severe allergic reaction following multiple intravenous infusion treatments

许凤 1张莉 1张虹婷 1石楚琪 1贾巧茹 1肖浩 1孟娟1

作者信息

  • 1. 四川大学华西医院变态反应中心,四川 成都 610041||四川大学华西医院耳鼻咽喉头颈外科,四川 成都 610041
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摘要

Abstract

In clinical practice,the application of surface disinfectants for skin disinfection is a prerequisite for venipuncture.Chlorhexidine,a widely recognized disinfectant,is frequently employed for this purpose.However,during intravenous infusions,minute quantities of chlorhexidine can be inadvertently introduced into the bloodstream via the puncture needle,potentially precipitating immediate-type(type)hypersensitivity reactions.Regrettably,these reactions are often erroneously attributed to administered medications,such as antibiotics,which can result in both misdiagnosis and underdiagnosis.This article details a case of an allergic reaction that occurred subsequent to multiple intravenous infusions and was ultimately identified as chlorhexidine-induced after antibiotic allergy was ruled out.The objective of this report is to deepen the clinical physcians'comprehension of chlorhexidine-induced allergies in the context of infusion-related allergic reactions,thereby offering a valuable reference for accurate diagnosis and effective treatment strategies.

关键词

静脉输液/氯己定/过敏反应

Key words

Intravenous infusions/Chlorhexidine/Allergic reactions

引用本文复制引用

许凤,张莉,张虹婷,石楚琪,贾巧茹,肖浩,孟娟..多次静脉输液后出现严重过敏反应诊治一例[J].新医学,2024,55(10):848-852,5.

基金项目

国家临床重点专科建设项目(TJZ202303) (TJZ202303)

新医学

OACSTPCD

0253-9802

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