论文部分内容阅读
一位37岁的女病人在接受龋齿修补时注射了2ml 含有肾上腺素的奴佛卡因后,立即出现了全身发热感,皮肤潮红、皮痒、广泛荨麻疹发作,呼吸困难,烦燥不安等症状。即刻注射一针抗组织胺药后半小时内症状消失。病人恢复后,再用不加血管收缩剂的各种麻醉药做皮肤过敏试验。所用的麻醉药有奴佛卡因、丙胺卡因、卡波卡因、利多卡因四种。皮试结果全部阴性。然后再为病人进行单盲重亚硫酸钠的口腔粘膜试验。方法为用10mg 的重亚硫酸钠溶液置入病人口腔。30分钟后病人感觉头部胀满、鼻堵、皮肤搔痒、潮红、躯干出现成片荨麻疹。再次给以50mg苯海拉明后症状即逐渐消退。通过这一病人,作者提出有些口腔手术局部麻醉时发生
A 37-year-old female patient developed generalized fever, flushing skin, itchy skin, widespread urticaria attacks, breathing difficulties, irritability, etc. immediately after injection of 2 ml of Novocaine containing epinephrine while undergoing dental caries repair symptom. Symptoms disappeared within half an hour after immediate injection of a single antihistamine. After the patient is recovered, the skin allergy test is performed on all kinds of anesthetics without vasoconstrictor. The anesthetic used are novocaine, prilocaine, carbocaine, lidocaine four. Skin test results all negative. The patient was then tested for single blind sodium bisulfite oral mucosa. Method for the use of 10mg sodium bisulfite solution into the patient’s mouth. After 30 minutes, the patient feels a head fullness, nose blockage, itchy skin, flushing, and a torso of the urticaria. Again give 50mg diphenhydramine symptoms gradually subsided. Through this patient, the author suggested that some oral surgery occurred when the local anesthesia