摘要
1例42岁女性患者行右侧甲状腺次全切除术,术前心率80次/min,血压130/80 mm Hg(1 mm Hg=0.133 kPa)。采用利罗合剂(2%利多卡因10 ml+0.894%甲磺酸罗哌卡因10 ml)行双侧颈神经丛阻滞麻醉。10 min后患者胸部出现荨麻疹,心率110次/min,血压155/110 mm Hg,随后腹部与下肢均出现荨麻疹,心率125次/min,血压160/100 mm Hg。即刻给予吸氧,静脉注射地塞米松10 mg,5 min后荨麻疹有所减退。又肌内注射苯海拉明20 mg,5 min后心率95次/min,血压140/90 mm Hg,荨麻疹完全消失。
An 42-year-old woman underwent right subtotal thyroidectomy. Preoperatively, her heart rate （HT） was 80 beats/min and blood pressure （BP） was 130/80 mm Hg. Bilateral cervical plexus block was performed with mixture of lidocaine and ropivacaine （2% lidocaine 10 ml ＋ 0. 894% ropivacaine mesylate 10 ml）. Ten minutes later, the patient developed urticaria on her chest, her HR was 110 beats/min and BP 150/110 mm Hg. Subsequently, the urticaria was appeared in abdomen and legs. Her HR was 125 beats/rain and BP 160/100 mm Hg, Oxygen and IV dexamethasone 10 mg were given immediately. Five minutes later, her urticaria receded gradually. And IM diphenhydramine 20 mg was given. Five minutes later, her HR was 95 beats/min, BP was 140/90 mm Hg, and the urticaria disappeared completely.
出处
《药物不良反应杂志》
2012年第2期128-129,共2页
Adverse Drug Reactions Journal
