低分子右旋糖酐(下简称低右)是临床常用扩容升压、抗休克及降血粘度的有效药物,应用十分广泛,致过敏性休克者少见。同时在抢救治疗上略有不同。兹就2例低右严重过敏性休克救治情况报告如下。胡××,男,42岁,“阵发性头晕头痛2周”为主诉,于1999年7月16日在本科住院治疗,确诊为颈椎病。7月 16日上午10点,以35 gtt/min静滴低分子右旋糖酐(安徽阜阳制药厂生产,批号001112)10 min时出现四肢麻木、心悸、胸闷、呼吸困难、意识模糊。查体:四肢冰凉,皮肤湿冷,脉搏细弱;P 128次/min,T 35.5℃、R36次/min、BP 50/40mmHg。听诊双肺呼吸音增强,但未及干湿罗音,HR 128次/min,律齐,未及早搏,考虑过敏性休克。即予吸氧,0.1%肾上腺素 1mg,50%%葡萄糖液 40ml Low molecular weight dextran (hereinafter referred to as low right) is commonly used in clinical expansion volume, anti-shock and blood viscosity effective drugs, is widely used, caused by anaphylactic shock rare. At the same time in the rescue treatment is slightly different. Here are 2 cases of low right severe allergic shock treatment report as follows. Hu XX, male, 42 years old, “paroxysmal dizziness and headache 2 weeks ” as the main complaint, on July 16, 1999 undergraduate hospitalization, diagnosed as cervical spondylosis. At 10 o’clock on the July 16, numbness, heart palpitations, chest tightness, difficulty breathing and confusion occurred when intravenous infusion of low molecular weight dextran at 35 gtt / min (manufactured by Anhui Fuyang Pharmaceutical Factory, Lot No. 001112) for 10 min. Examination: cold limbs, skin wet and cold, weak pulse; P128 times / min, T35.5 ℃, R36 times / min, BP50 / 40mmHg. Auscultatory lung breath sounds increased, but not wet and dry rales, HR 128 times / min, law Qi, not earlier than the stroke, consider anaphylactic shock. That is to oxygen, 0.1% epinephrine 1mg, 50 %% glucose solution 40ml