Solomon D R
Am J Emerg Med. 1986 Mar;4(2):146-9. doi: 10.1016/0735-6757(86)90161-0.
A case of severe anaphylactoid reaction following injection of intravenous contrast is described, and a discussion of the treatment of severe allergic reactions follows. The patient's presentation was unusual in that she rapidly developed massive non-cardiac pulmonary edema as the primary symptom, along with hypotension and hypokalemia, a syndrome similar to adult respiratory distress syndrome. The development of the reaction along with the unusual presentation is discussed and a detailed discussion of the generalized treatment of anaphylactoid and anaphylactic reactions is presented. Additionally, several errors in management that may have delayed resolution of the symptoms and prolonged the period of instability in the patient's condition are discussed and critiqued.
本文描述了一例静脉注射造影剂后发生严重类过敏反应的病例，并对严重过敏反应的治疗进行了讨论。患者的表现不同寻常，她迅速出现大量非心源性肺水肿作为主要症状，同时伴有低血压和低钾血症，这是一种类似于成人呼吸窘迫综合征的综合征。文中讨论了该反应的发生过程以及这种不寻常的表现，并对类过敏反应和过敏反应的一般治疗进行了详细讨论。此外，还讨论并批评了一些可能延误症状缓解和延长患者病情不稳定期的管理失误。
