文章摘要
甘美婵,秦秀英,阮炎鹏,甄乐锋.肌注维生素K1致湿疹型皮肤反应及文献回顾[J].中国药事,2018,32(10):1449-1452
肌注维生素K1致湿疹型皮肤反应及文献回顾
Eczematous Skin Reaction Caused by Intramuscular Injection of Vitamin K1 and Literature Review
投稿时间:2017-09-11  
DOI:10.16153/j.1002-7777.2018.10.023
中文关键词: 维生素K1  肌肉注射  过敏反应
英文关键词: vitamin K1  intramuscular injection  anaphylactic reaction
基金项目:
作者单位
甘美婵 江门市人民医院, 江门 529000 
秦秀英 江门市人民医院, 江门 529000 
阮炎鹏 江门市人民医院, 江门 529000 
甄乐锋 江门市人民医院, 江门 529000 
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中文摘要:
      目的:总结维生素K1注射液肌肉注射后引起皮肤反应的临床特征及治疗方法。方法:对1例产妇肌注维生素K1致湿疹型皮肤反应进行报道,并对相关文献报道的情况进行回顾性汇总分析。结果:维生素K1注射液导致的皮肤反应为非Ig E介导的Ⅳ型过敏反应,主要由增溶剂聚山梨酯80所引起,抗过敏治疗效果不显著。结论:应严格掌握用药的适应证,加强用药监测,提高用药警惕性,保障患者用药安全。
英文摘要:
      Objective: To summarize the clinical characteristics and the treatment of skin reaction caused by intramuscular injection of vitamin K1. Methods: A puerperal case of eczematous skin reaction caused by intramuscular injection of vitamin K1 was reported and the relevant literature was retrospectively analyzed. Results: The skin reaction caused by intramuscular injection of vitamin K1 was non-IgE-mediated type IV anaphylactic reaction, which was incurred by the solubilizer Polysorbate 80. Therefore, the effect of antianaphylactic treatment was not significant. Conclusion: The physicians should strictly control indications of the drug use, strengthen the monitoring of medication, increase the vigilance of medication and ensure patients the medication safety.
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